Rapid Response Team composition, resourcing and calling criteria in Australia.
Details
Serval ID
serval:BIB_2132D8EC6C87
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Rapid Response Team composition, resourcing and calling criteria in Australia.
Journal
Resuscitation
Working group(s)
ANZICS-CORE MET dose Investigators
Contributor(s)
Jones D., Drennan K., Hart GK., Bellomo R., Web SA., Zalstein S., Collins K., Stewart P., Corkill W., Schneider A., Calzavacca P., Thomas A., Hill D., Jasiowski S., Green D., Stow P., Fletcher J., Smith J., Pearce DW., Lintott M., Ellem K., Rischbieth A., Davidson K., Mitchell I., Slater N., Elliott D., Dennett J., Coles T., Ceely B., Jacobs S., Kearley Y., Shepherd K., O'Bree B., Harley N., Robertson M., Banner L., Green K., Bersten A., Matheson E., Carter M., Holt A., Breheny F., Albury J., Cameron R., Morcom L., Mathewson J., Piercy M., Halkhoree J., Fratzia J., Ewens B., Power B., Goldie D., McCalman C., Micallef S., Mifflin N., Parr M., Wood J., Thomas P., Clausen S., Lane S., Scott J., Segger T., Rouse A., Smith L., Pollock H., Williams J., Bersten A., Butt W., Harley N., Morley P., Bell J., Pinder M., Brinkworth A., Roberts B., Flynn B., Lawrence K., Morgan D., Santamaria J., Gordon G., Hutchinson K., Johnson B., Beard M., Broadbent J., Welbing K., Yung M., Matthews N.
ISSN
1873-1570 (Electronic)
ISSN-L
0300-9572
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
83
Number
5
Pages
563-567
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
INTRODUCTION: Rapid Response Teams (RRTs) have been introduced into at least 60% of Intensive Care Unit (ICU) - equipped Australian hospitals to review deteriorating ward patients. Most studies have assessed their impact on patient outcome and less information exists on team composition or aspects of their calling criteria.
METHODS: We obtained information on team composition, resourcing and details of activation criteria from 39 of 108 (36.1%) RRT-equipped Australian hospitals.
RESULTS: We found that all 39 teams operated 24/7 (h/days), but only 10 (25.6%) had received additional funding for the service. Although 38/39 teams, were physician-led medical emergency teams, in 7 (17.9%) sites the most senior member would be unlikely to have advanced airway skills. Three quarters of calling criteria were structured into "ABCD", and approximately 40% included cardiac and/or respiratory arrest as a calling criterion. Thresholds for calling criteria varied widely (particularly for respiratory rate and heart rate), as did the wording of the worried/concerned criterion. There was also wide variation in the number and nature of additional activation criteria.
CONCLUSIONS: Our findings imply the likelihood of significant practice variation in relation to RRT composition, staff skill set and activation criteria between hospitals. We recommend improved resourcing of RRTs, training of the team members, and consideration for improved standardisation of calling criteria across institutions.
METHODS: We obtained information on team composition, resourcing and details of activation criteria from 39 of 108 (36.1%) RRT-equipped Australian hospitals.
RESULTS: We found that all 39 teams operated 24/7 (h/days), but only 10 (25.6%) had received additional funding for the service. Although 38/39 teams, were physician-led medical emergency teams, in 7 (17.9%) sites the most senior member would be unlikely to have advanced airway skills. Three quarters of calling criteria were structured into "ABCD", and approximately 40% included cardiac and/or respiratory arrest as a calling criterion. Thresholds for calling criteria varied widely (particularly for respiratory rate and heart rate), as did the wording of the worried/concerned criterion. There was also wide variation in the number and nature of additional activation criteria.
CONCLUSIONS: Our findings imply the likelihood of significant practice variation in relation to RRT composition, staff skill set and activation criteria between hospitals. We recommend improved resourcing of RRTs, training of the team members, and consideration for improved standardisation of calling criteria across institutions.
Keywords
Australia, Emergency Service, Hospital/statistics & numerical data, Health Personnel, Health Resources, Hospital Rapid Response Team, Humans, Intensive Care Units
Pubmed
Web of science
Create date
26/11/2014 23:16
Last modification date
20/08/2019 13:57
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