The impact of proactive rounding on rapid response team calls

an observational study

Areeba Kara, Dawson Frank Dean, Cynthia S. Johnson, Siu Hui

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Rapid response teams (RRTs) improve mortality by intervening in the hours preceding arrest. Implementation of these teams varies across institutions. SETTING AND DESIGN: Our health-care system has two different RRT models at two hospitals: Hospital A does not utilize a proactive rounder while Hospital B does. We studied the patterns of RRT calls at each hospital focusing on the differences between night and day and during nursing shift transitions. RESULTS: The presence of proactive surveillance appeared to be associated with an increased total number of RRT calls with more than twice as many calls made at the smaller Hospital B than Hospital A. Hospital B had more calls in the daytime compared to the nighttime. Both hospitals showed a surge in the night-to-day shift transition (7-8am) compared to the preceding nighttime. Hospital A additionally showed a surge in calls during the day-to-night shift transition (7-8pm) compared to the preceding daytime. CONCLUSIONS: Differences in the diurnal patterns of RRT activation exist between hospitals even within the same system. As a continuously learning system, each hospital should consider tracking these patterns to identify their unique vulnerabilities. More calls are noted between 7-8am compared to the overnight hours. This may represent the reestablishment of the 'afferent' arm of the RRT as the hospital returns to daytime staffing and activity. Factors that influence the impact of proactive rounding on RRT performance may deserve further study.

Original languageEnglish (US)
Pages (from-to)42-45
Number of pages4
JournalHospital practice (1995)
Volume47
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Observational Studies
Hospital Rapid Response Team
Nursing
Learning
Delivery of Health Care
Mortality

Keywords

  • diurnal variations
  • emergency treatment
  • hospital
  • Hospital rapid response team

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The impact of proactive rounding on rapid response team calls : an observational study. / Kara, Areeba; Dean, Dawson Frank; Johnson, Cynthia S.; Hui, Siu.

In: Hospital practice (1995), Vol. 47, No. 1, 01.02.2019, p. 42-45.

Research output: Contribution to journalArticle

Kara, Areeba ; Dean, Dawson Frank ; Johnson, Cynthia S. ; Hui, Siu. / The impact of proactive rounding on rapid response team calls : an observational study. In: Hospital practice (1995). 2019 ; Vol. 47, No. 1. pp. 42-45.
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