Sustained effectiveness of a primary-team-based rapid response system.

Michael D. Howell; Long Ngo; Patricia Folcarelli; Julius Yang; Lawrence Mottley; Edward R. Marcantonio; Kenneth Sands; Donald Moorman; Mark Aronson

Study

Sustained effectiveness of a primary-team-based rapid response system.

July 18, 2012

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40(9):2562-8.

View more articles from the same authors.

A rapid response team model that relied on clinical triggers to summon the primary team caring for the patient—rather than a dedicated, separate team—resulted in sustained reductions in unexpected inpatient mortality over a 4-year period.

PubMed citation

Available at

Related Resources From the Same Author(s)

Failures in the respectful care of critically ill patients.

October 10, 2018

Emotional harm from disrespect: the neglected preventable harm.

September 2, 2015

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.

May 15, 2013

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.

October 2, 2013

Delirium in hospitalized older adults.

October 18, 2017

The practice of respect in the ICU.

August 1, 2018

Implementation of diagnostic pauses in the ambulatory setting.

February 14, 2018

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

August 18, 2010

On the quest for Six Sigma.

April 3, 2005

A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships.

January 11, 2017

Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs.

October 11, 2017

Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes.

June 6, 2018

A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study.

August 8, 2018

Resolving the productivity paradox of health information technology: a time for optimism.

June 6, 2018

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.

December 19, 2018

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.

June 16, 2010

Development and evaluation of a required patient safety course.

September 3, 2008

Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.

December 8, 2010

Rapid response systems as a patient safety strategy: a systematic review.

March 20, 2013

Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022.

May 3, 2023

Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning.

December 20, 2017

Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.

April 6, 2016

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

June 8, 2005

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.

June 17, 2015

Patient-reported service quality on a medicine unit.

November 30, 2005

What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.

August 17, 2005

Confidential clinician-reported surveillance of adverse events among medical inpatients.

March 27, 2005

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.

June 15, 2016

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

November 11, 2009

Universal protection: operationalizing infection prevention guidance in the COVID-19 era.

May 12, 2021

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.

May 6, 2009

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.

June 1, 2016

Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.

June 12, 2013

Preventable anesthesia mishaps: a study of human factors.

March 27, 2005

Quality improvement and patient safety activities in academic departments of medicine.

October 31, 2012

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

July 13, 2011

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization.

May 12, 2021

Honest communication and social asymmetries inside a hospital: pitfalls for clinicians.

June 15, 2022

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

February 18, 2009

Getting surgery right.

September 12, 2007

An opportunity to engage obstetrics and gynecology patients through shared visit notes.

June 26, 2019

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.

September 13, 2023

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.

October 14, 2009

Adverse drug events in the outpatient setting: an 11-year national analysis.

July 28, 2010

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.

April 17, 2024

An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.

June 8, 2016

War games and diagnostic errors.

January 18, 2017

Why don't we know whether care is safe?

April 10, 2013

Rapid response teams—walk, don't run.

October 11, 2006

Blurring the boundaries: scenario-based simulation in a clinical setting.

June 8, 2005

Perceived patient safety culture in a critical care transport program.

July 31, 2013

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

December 17, 2008

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

May 6, 2009

Measurement of quality and assurance of safety in the critically ill.

April 8, 2009

Measuring patient safety in the emergency department.

June 19, 2013

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

Human factors and simulation in emergency medicine.

March 21, 2018

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.

October 8, 2008

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.

December 20, 2017

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients.

August 19, 2015

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

September 25, 2019

Ensuring successful implementation of communication-and-resolution programmes.

March 18, 2020

Clinicians' assessments of electronic medication safety alerts in ambulatory care.

October 7, 2009

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.

February 15, 2023

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care.

August 5, 2015

Outcomes after out-of-hospital endotracheal intubation errors.

February 18, 2009

Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis.

April 29, 2020

Preventing sentinel events caused by family members.

April 13, 2011

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

December 13, 2006

Medical team training: applying crew resource management in the Veterans Health Administration.

May 30, 2007

Emergency intubation of children outside of the operating room.

February 26, 2020

Prescription opioid analgesics commonly unused after surgery: a systematic review.

August 9, 2017

Unintended medication discrepancies at the time of hospital admission.

April 3, 2005

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

February 24, 2016

Suicide in the medical setting.

August 20, 2008

Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.

June 28, 2017

The business case for quality: case studies and an analysis.

March 6, 2005

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review.

January 25, 2023

Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.

June 20, 2018

Program director perceptions of surgical resident training and patient care under flexible duty hour requirements.

September 7, 2016

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

Development and implementation of a hospital-based patient safety program.

March 15, 2006

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

January 13, 2010

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Quantitative assessment of workload and stressors in clinical radiation oncology.

June 13, 2012

Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation.

January 9, 2013

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

August 24, 2011

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80.

August 3, 2005

Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance.

July 2, 2008

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

August 12, 2015

Characteristics associated with requests by pathologists for second opinions on breast biopsies.

May 17, 2017

Creating a fellowship curriculum in patient safety and quality.

September 17, 2014

National cluster-randomized trial of duty-hour flexibility in surgical training.

February 10, 2016

The medical emergency team system: a two hospital comparison.

February 27, 2008

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

July 20, 2022

Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.

December 22, 2021

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

Reasons for repeat rapid response team calls, and associations with in-hospital mortality.

February 6, 2019

How to avoid catastrophic events on the ward.

July 27, 2016

Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors.

January 28, 2015

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

January 21, 2015

Rapid response team implementation and in-hospital mortality.

August 27, 2014

Designing a critical care nurse–led rapid response team using only available resources: 6 years later.

July 9, 2014

Addressing patient safety in rapid response activations for nonhospitalized persons.

July 2, 2014

System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.

May 28, 2014

'Between the flags': implementing a rapid response system at scale.

May 14, 2014

Evaluating implementation of a rapid response team: considering alternative outcome measures.

May 7, 2014

Physician attitudes toward family-activated medical emergency teams for hospitalized children.

April 2, 2014

Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto.

March 12, 2014

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Effect of patient safety strategies on the incidence of adverse events.

February 12, 2014

Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients.

January 22, 2014

Structuring patient and family involvement in medical error event disclosure and analysis.

January 22, 2014

Communication-and-resolution programs: the challenges and lessons learned from six early adopters.

January 15, 2014

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.

January 15, 2014

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

The effect of hospital organizational characteristics on postoperative complications.

December 11, 2013

Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals.

December 4, 2013

Delayed medical emergency team calls and associated outcomes.

November 13, 2013

Impact of rapid response system implementation on critical deterioration events in children.

November 13, 2013

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.

November 6, 2013

Talking with patients about other clinicians' errors.

November 6, 2013

Compensation of chief executive officers at nonprofit US hospitals.

October 30, 2013

See More About The Topic

Hospitals

Health Care Executives and Administrators

Organizational Behaviorists

Critical Care

General Internal Medicine

Sustained effectiveness of a primary-team-based rapid response system.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Sustained effectiveness of a primary-team-based rapid response system.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site