1723: Implementing a Rapid Response Team and Its Outcomes in a Cancer Center in Jordan

Introduction: A rapid response team (RRT) is a dedicated medical team to response to rapidly deteriorating patients. It has the potential to reduce cardiac arrests happening on the medical floor and improve patients’ outcomes. We aim to study the implementation and clinical outcomes of a RRT in a cancer center. Methods: The RRT went to effect in January 1st, 2025, and was implemented in the medical floor, excluding the emergency room and the intensive care unit (ICU). The team is comprised of an ICU physician and nurse, a respiratory therapist, and the floor charge nurse. Data extraction from the chart using an artificial intelligence tool targeted at an RRT template started in May 8th, 2025. Descriptive data are expressed as mean ± standard deviation for normally distrib¬uted continuous variables and median and interquartile range for non-normally distributed continuous data. Categorical data are reported as number (%). Results: We collected data on 232 patients from the period of May 7th to July 29th, 2025; 113 (49%) were males, with an average age of 54.4 years (SD 14.4). The primary team was Internal Medicine in 75%, Surgery in 7%, and Palliative medicine in 18%. The most common indication for RRT was respiratory distress or hypoxemia (31.5%), systolic blood pressure below 90 mmHg (26%), then change in mental status (13%). RRT calls were evenly distributed on weekends and weekdays, however, there was significantly more RRT called on Sunday (RR 1.67, 95% CI 1.04-2.72, p < 0.05). RRT was more likely to be called on the A shift (60%). At the end of the RRT evaluation, most of the patients (60.5%) remained on the same floor, while 31.5% were transferred to the ICU and 8% arrested. RRT on a weekday (OR 0.47, 95%CI 0.25-0.85, p < 0.05) and the presence of metastasis (OR 0.47, 95%CI 0.25-0.89, p < 0.05) were significantly less likely to result in a transfer to the ICU. Finally, the RRT changed the code status in 8% of RRT cases. Conclusions: RRT were more likely to be called on the first day of the week. Patients were less likely to transfer to the ICU if they had metastasis and if the RRT was called on a weekday. This argues for improved code status discussion and transition of care over the weekend.