Dauwe Véronique, Poitras Marie-Ève, Roberge Véronique
Rech Soins Infirm. 2021 Jan 13(143):62-75. doi: 10.3917/rsi.143.0062.
Introduction : Hospitalized patients are at risk of unrecognized clinical deterioration that may lead to adverse events.Context : Rapid Response Teams (RRTs) exist around the world as a strategy to improve patient safety.Objective : To explore how RRTs work, their characteristics, impacts, and methods of implementation.Design : Literature review.Method : Consultation of the databases CINAHL, MEDLINE, PUBMED, COCHRANE library, SCOPUS, and PROQUEST Dissertations and Theses. Keywords : “health care team” and “rapid response team”.Results : 121 articles were included. The collected data were divided into five categories : 1) composition and operation of RRTs, 2) benefits and limitations of RRTs, 3) perceptions of RRTs by health care teams, organizations, and patients, 4) implementation strategies, and 5) facilitators and barriers to implementation.Discussion : Although there are many articles related to RRTs, it appears that : 1) few studies analyze the difference in outcomes in hospitalized patients related to the composition of RRTs, 2) few studies describe how RRTs should work, 3) more studies are needed on the impacts of RRTs on hospitalized patients, 4) organizations’ and patients’ perceptions of RRTs are not well studied, and 5) more studies are needed on the best way to implement an RRT.Conclusion : The results show that there is a lack of studies on the difference in outcomes in hospitalized patients related to the composition of RRTs, on how RRTs should work, on the impacts of RRTs on hospitalized patients, on organizations’ and patients’ perceptions of RRTs, and on the factors that influence the success or failure of the implementation of an RRT.
住院患者存在未被识别的临床病情恶化风险,这可能导致不良事件。
快速反应小组(RRTs)作为一种提高患者安全的策略在全球范围内存在。
探讨快速反应小组如何运作、其特点、影响及实施方法。
文献综述。
查阅CINAHL、MEDLINE、PUBMED、Cochrane图书馆、SCOPUS以及PROQUEST学位论文数据库。关键词:“医疗团队”和“快速反应小组”。
纳入121篇文章。收集的数据分为五类:1)快速反应小组的组成与运作;2)快速反应小组的益处与局限;3)医疗团队、机构及患者对快速反应小组的看法;4)实施策略;5)实施的促进因素与障碍。
尽管有许多关于快速反应小组的文章,但似乎:1)很少有研究分析住院患者的结局与快速反应小组组成之间的差异;2)很少有研究描述快速反应小组应如何运作;3)需要更多关于快速反应小组对住院患者影响的研究;4)机构和患者对快速反应小组的看法研究不足;5)需要更多关于实施快速反应小组最佳方式的研究。
结果表明,关于住院患者结局与快速反应小组组成之间的差异、快速反应小组应如何运作、快速反应小组对住院患者的影响、机构和患者对快速反应小组的看法以及影响快速反应小组实施成败的因素,缺乏相关研究。