Implementation of rapid response teams at a childrens hospital led to a significant reduction in hospitalwide mortality and code rates, according to a study published in the Nov. 21 Journal of the American Medical Association.
After 260-bed Lucile Packard Childrens Hospital, Palo Alto, Calif., added rapid response teams for patients outside the intensive-care unit, it saw an 18% decrease in the death rate and a 70% decline in cardiac and respiratory arrest rates, said Paul Sharek, a physician at Stanford University School of Medicine, in the study. Shareks team evaluated more than 22,000 patient admissions before RRTs were implemented and more than 7,000 admissions after they were in place.
Research has shown the introduction of RRTs outside of ICUs have contributed to a decrease in adult death and cardiac arrest rates. The study of the childrens hospital suggests the impact of RRTs for pediatric patients could be dramatic, Sharek said in the JAMA article. -- by Jean DerGurahian