Troy Lindsey, Burch Mary, Sawicki Jonathan G, Henricksen Jared W
Division of Pediatric Critical Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Department of Nursing Excellence, Intermountain Healthcare Primary Children's Hospital, Salt Lake City, Utah, USA.
Hosp Pract (1995). 2021 Oct;49(sup1):399-404. doi: 10.1080/21548331.2022.2028468. Epub 2022 Jan 20.
Rapid Response Systems (RRSs) are an organizational approach to support the timely recognition and treatment of decompensating patients and are used in many pediatric hospitals. These systems are comprised of afferent and efferent Limbs, as well as oversight arms. When incorporated into an RRS, standardized care algorithms can be helpful in identifying deteriorating patients and improving behaviors of the multidisciplinary team. The aim of this paper is to provide an overview of pediatric RRS and provide an example in which standardized care algorithms developed for the efferent limb of a pediatric RRS were associated with improvement in early escalation of care.The Rapid Response System (RRS) is used in hospitals to recognize and care for hospitalized patients that are decompensating outside of an Intensive Care Unit. RRSs are made up of two main response components. The afferent limb focuses on the recognition and calls for help; the efferent limb focuses on correcting the deteriorating patient's physiology. Much energy has been put into afferent limb development to identify worsening patients before they progress to full cardiac or respiratory arrest. Standardization of efferent limb care algorithms can assist in developing and maintaining a shared mental model of care to improve communication and function of the multidisciplinary team.
快速反应系统（RRSs）是一种组织方法，用于支持对病情恶化患者的及时识别和治疗，许多儿科医院都在使用。这些系统由传入和传出分支以及监督部门组成。当纳入快速反应系统时，标准化护理算法有助于识别病情恶化的患者，并改善多学科团队的行为。本文旨在概述儿科快速反应系统，并提供一个示例，说明为儿科快速反应系统的传出分支开发的标准化护理算法与护理早期升级的改善相关。快速反应系统（RRS）在医院中用于识别和护理在重症监护病房外病情恶化的住院患者。快速反应系统由两个主要反应组件组成。传入分支专注于识别并呼救；传出分支专注于纠正病情恶化患者的生理状况。为了在患者发展到完全心脏或呼吸骤停之前识别病情恶化的患者，人们在传入分支的开发上投入了大量精力。传出分支护理算法的标准化有助于建立和维持共同的护理思维模式，以改善多学科团队的沟通和功能。
