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May 4, 2019Contemporary NurseOpen Access

The rapid response system: an integrative review

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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.

Design

Integrative literature review

Authors

JRJohn Rihari‐ThomasThe University of SydneyMDMichelle DiGiacomoGeneral / Preventive / LipidsPNPhillip J. NewtonUniversity of Newcastle Australia

Discussion

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Member takes

Overview

Informs hospital strategies for detecting deterioration; leaves open Australian-specific future directions for rapid response systems.

Structured PICO

P
Population
An integrative review of 78 sources examining the historical trends, implementation, and contextual factors of rapid response systems for clinical deterioration, with a focus on the Australian healthcare system.
I
Intervention
Rapid response systems
O
Outcome
Major historical trends, Australian issues, and future focus areas regarding rapid response systems

Rapid response systems are complex interventions that require appropriate resources, skilled workforce, and positive workplace cultures to be effective.

Limitations

  • Heterogeneity of implementation models
  • Non-standardisation of definitions and data collection
  • Translating evidence to practice is challenging due to local factors and political imperatives

Cite This Study

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.

synapsesocial.com/papers/6a9d5db8561562f2d9bf0db2https://doi.org/10.1080/10376178.2019.1633940
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rapid response systems: A systematic review*2007 · 258 citations
  2. 2Realist synthesis of a rapid response system in managing mental state deterioration in acute hospital settings2024 · 8 citations
  3. 3Unpacking Mechanisms of Rapid Response for Mental State Deterioration: A Realist‐Informed Analysis of Field Observations in Acute Hospital Settings2026 · 1 citations
  4. 4Rapid response teams—how and who? A protocol for a randomised clinical trial evaluating the composition of the efferent limb of the rapid response system2021 · 7 citations
  5. 5Coordination of care in hospitals: A rapid review of the literature2015 · 1 citations