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ISSN: 2165-7548

Emergency Medicine: Open Access
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Research Article

The Rapid Response Team Reduces the Number of Cardiopulmonary Arrests and Hospital Mortality

Mohammed Hijazi1*, Maya Sinno2 and Mariam Alansar3

1Department of Adult Critical Care Medicine, King Faisal Specialist Hospital and Research Centre Riyadh, Saudi Arabia

2Quality Management, King Faisal Specialist Hospital and Research Centre Riyadh, Saudi Arabia

3Intensive Care Unit, Salmaniya Medical Complex, Ministry of Health, Manama, Kingdom of Bahrain

*Corresponding Author:
Mohammed Hijazi
Chairman, Department of Adult Critical Care Medicine (MBC 94)
King Faisal Specialist Hospital and Research Centre
P.O. Box 3354, Riyadh 11211, Saudi Arabia
Tel: +966 1 442 4464
Fax: +966 1 442 4184
E-mail: [email protected]

Received Date: May 16, 2012; Accepted Date: August 25, 2012; Published Date: August 27, 2012

Citation: Hijazi M, Sinno M, Alansar M (2012) The Rapid Response Team Reduces the Number of Cardiopulmonary Arrests and Hospital Mortality. Emergency Med 2:128. doi:10.4172/2165-7548.1000128

Copyright: © 2012 Hijazi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Cardiopulmonary arrest continues to affect inpatients resulting in high mortality. It is frequently preceded by warning signs that if recognized and addressed might prevent arrest. The aim of the rapid response team is early recognition and management of such warning signs to prevent arrest.

Objective: To assess the effectiveness of the rapid response team intervention in reducing the number of cardiopulmonary arrest in adult and pediatric inpatient regular floor patients as part of the performance improvement program.

Setting: An 800-bed tertiary care medical centre.

Design: Prospective observational before-and-after study.

Intervention: Introduction of the rapid response team as a performance improvement project to reduce the number of inpatient cardiopulmonary arrests.

Outcome: Rate of cardiopulmonary arrest per 1000 admissions in adult and pediatric patient outside intensive care units.

Results: The number of cardiopulmonary arrest outside the intensive care units before implementing the RRT was 75 during 2006 (rate of 3.53 per 1000 admissions) and decreased to 59 and 37 cardiopulmonary arrests during 2007 and 2008, respectively (rate of 2.72 for 2007 and 1.68 for 2008 per 1000 admission) after implementing the RRT (p-value = 0.0068). The number of calls to the RRT correlated inversely with the number of arrests.

Conclusion: The rapid response team is effective in reducing the number of cardiopulmonary arrest in adult and pediatric patient in a tertiary care setting.

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