Key result
Rapid response systems are complex interventions that require appropriate resources, a skilled workforce, and positive workplace cultures to effectively manage clinical deterioration.
Why the study?
Clinical deterioration and adverse events in hospitals are an increasing concern, prompting widespread implementation of rapid response systems.
Rapid response systems are complex interventions that require appropriate resources, skilled workforce, and positive workplace cultures to be effective.
Answers are grounded in this paper and cite their sources.
Informs hospital strategies for detecting deterioration; leaves open Australian-specific future directions for rapid response systems.
Background: Clinical deterioration and adverse events in hospitals is an increasing cause for concern. Rapid response systems have been widely implemented to identify deteriorating patients.Aim: We aimed to examine the literature highlighting major historical trends leading to the widespread adoption of rapid response systems, focussing on Australian issues and identifying future focus areas.Method: Integrative literature review including published and grey literature.Results: Seventy-eight sources including journal articles and Australian government matierlas resulted. Pertinent themes were the increasing acuity and aging of the population, importance of hospital cultures, the emerging role of the consumer, and proliferation, evolution and standardisation of rapid response systems.Discussion: Translating evidence to usual care practice is challenging and strongly driven by local factors and political imperatives.Conclusion: Rapid response systems are complex interventions requiring consideration of contextual factors at all levels. Appropriate resources, a skilled workforce and positive workplace cultures are needed for these systems to reach their full potential.
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Rihari‐Thomas et al. (2019) conducted a review in Clinical deterioration (n=78). Rapid response systems was evaluated. Rapid response systems are complex interventions that require appropriate resources, a skilled workforce, and positive workplace cultures to effectively manage clinical deterioration.
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