Successor to the editors' groundbreaking book on medical emergency teams, Textbook of Rapid Response Systems addresses the problem of patient safety and quality of care; the logistics of creating an RRS (resource allocation, process design, workflow, and training); the implementation of an RRS (organizational issues, challenges); and the evaluation of program results. Based on successful RRS models that have resulted in reduced in-hospital cardiac arrest and overall hospital death rates, this book is a practical guide for physicians, hospital administrators, and other healthcare professionals who wish to initiate an RRS program within their own institutions.
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Section I: RRS's and Patient Safety.- Rapid Response Systems History and Terminology.- RRS's General Principles.- Measuring and Improving Safety.- Integrating a Rapid Response System into a Patient Safety Program.- Acute Hospitalist Medicine and the Rapid Response System.- Medical Trainees and Patient Safety.- Rapid Response Systems: A Review of the Evidence.- Health Care Systems and Their (Lack of) Integration.- Creating Process and Policy Change in Health Care.- The Challenge of Predicting in Hospital Cardiac Arrests and Deaths.- The Meaning of Vital Signs.- Matching Illness Severity with Level of Care.- Causes of Failure to Rescue.- Section II. Creating a RRS.- Impact of Hospital Size and Location on Feasibility of RRS.- Barriers to the Implementation of RRS.- An Overview of the Afferent Limb.- The Impact of Delayed RRS Activation.- The Case for Family Activation of the RRS.- RRT: Nurse-led RRS's.- MET: Physician-led RRS's.- Pediatric RRS's.- Sepsis Response Team.- Other Efferent Limb Teams: (BAT, DAT, M, H, and trauma).- Other Efferent Limb Teams: Crisis Response for Obstetric Patients.- Personnel Resources for Responding Teams.- Equipment, Medications, and Supplies for a RRS.- The Administrative Limb.- The Secondary Victim.- Section III. Monitoring of Efficacy and New Challenges.- RRS's in Teaching Hospitals.- The Nurse's View of RRS's.- Resident Training and RRS's.- Optimizing RRS's Through Simulation.- Evaluating Effectiveness of Complex System Interventions.- RRS Education for Ward Staff.- Standardized Process and Outcome Assessment Tool.- The Impact of RRS's on Choosing "Not For Resuscitation" Status.- The Costs and the Savings.
