Stolldorf Deonni P, Jones Cheryl B
Tennessee Valley Healthcare System, and Affiliate Vanderbilt School of Nursing, Nashville, Tennessee, USA.
Jt Comm J Qual Patient Saf. 2015 Apr;41(4):186-91. doi: 10.1016/s1553-7250(15)41024-4.
The Institute of Medicine (IOM) report, (1999), highlighted the need for improvements in the quality of health care, advocating for improvements in patient safety, preventing avoidable harm, and providing the necessary care to patients who could benefit from it. Rapid Response Teams (RRTs) are one crucial aspect of a hospital's RRS, providing hospitals with a mechanism to respond and care for patients experiencing an avoidable medical crisis. RRTs became imbedded in US hospitals following the launch of the Campaign in 2004 by the Institute for Healthcare Improvement and the introduction of RRTs as one of six initiatives to improve the quality of patient care. RRT adoption also provides hospitals the opportunity to meet a Joint Commission requirement for hospitals to implement a mechanism that enabled staff members to obtain help from experts when their patient's condition is worsening. Despite the proliferation of RRTs in hospitals, descriptive reports of these teams across groups of hospitals have been relatively few and provided limited descriptive information on RRTs. Therefore, using data we collected as part of a larger mixed-methods study of RRTs to examine their sustainability, we describe RRTs in a group of hospitals that were part of a collaborative to facilitate RRT adoption and implementation.
医学研究所(IOM)1999年的报告强调了改善医疗质量的必要性,主张提高患者安全、预防可避免的伤害,并为可能从中受益的患者提供必要的护理。快速反应小组(RRTs)是医院快速反应系统(RRS)的一个关键方面,为医院提供了一种机制,以应对和护理经历可避免医疗危机的患者。2004年,医疗改进研究所发起了一项运动,并将快速反应小组作为提高患者护理质量的六项举措之一引入,此后快速反应小组在美国医院中得以确立。采用快速反应小组还为医院提供了一个机会,以满足联合委员会对医院的要求,即实施一种机制,使工作人员在患者病情恶化时能够获得专家的帮助。尽管快速反应小组在医院中不断增加,但关于这些小组在不同医院群体中的描述性报告相对较少,且提供的关于快速反应小组的描述性信息有限。因此,我们利用作为一项关于快速反应小组可持续性的更大规模混合方法研究的一部分所收集的数据,描述了一组作为促进快速反应小组采用和实施的合作项目一部分的医院中的快速反应小组。