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Royal North Shore Hospital Nursing and Midwifery
Research Study in the spotlight
Exploration of a rapid response team model of care: Aim: To explore a rapid response team model of care, patient outcomes and the collaborative characteristics between the team members and ward clinicians. Rapid
response systems and teams are designed to enhance the recognition and treatment of patient deterioration. Rapid response systems and models of care vary with regard to collaborative and consultative attributes. The effectiveness of rapid response systems and teams is not fully understood. Results: The audit identified that the rapid response team provided timely consultation and a range of critical care interventions for 2,195 adult patients. Activations (n = 4,092) occurred most often in general medicine (n = 1,124, 70.8%) and cardiology (n = 815, 19.1%) wards. The themes that were synthesised from interviews included: i) managing patient deterioration as a ward nurse; ii) meeting at the bedside; iii) rapid response team at the bedside; and iv) ‘ staff concern ’ rapid response activation. How this research adds to our knowledge This exploratory study revealed that the rapid response team provided an extensive dedicated 24 - hour collaborative service. Rapid response team member and ward clinician interviews highlighted a focus on patient safety, support and clinician wellbeing, to optimise early assessment, detection, monitoring and management of ward inpatient deterioration.
The rapid response team created a culture of support and collaboration with inpatient staff, and achieved timely assessment, and early management of patients experiencing deterioration.
The rapid response team created a culture of support and collaboration with inpatient staff, and achieved timely assessment, and early management of patients experiencing deterioration.
Contributed by:
Professor Margaret Fry
Director Research and Practice Development | Nursing and Midwifery Directorate NSLHD
Level 7 Kolling Building, Royal North Shore Hospital, St Leonards NSW 2065 Professor of Nursing Faculty of Health, University of Technology Sydney Tel (02) 9926 4693 | Mob 0417 985 214 | Margaret.Fry@health.nsw.gov.au Margaret.Fry@uts.edu.au
Faculty of Health University of Technology Sydney
T. +61 (02) 9926 4693 M. +61 0425 313 391 PO Box 123 Broadway NSW 2007 Australia uts.edu.au ORCID: 0000 - 0003 - 1265 - 7096
Adjunct Professor Susan Wakil School of Nursing and Midwifery University of Sydney Senior Editor: Australasian Emergency Care Journal
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