Lim Sung Yoon, Woo Ho Geol, Park Jong Sun, Cho Young-Jae, Lee Jae Ho, Lee Yeon Joo
Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea.
Acute Crit Care. 2025 Feb;40(1):29-37. doi: 10.4266/acc.004272. Epub 2025 Feb 12.
Residents and nurses who activate rapid response teams (RRTs) are well positioned to offer insights on its effectiveness. Here, we assess such evaluation of RRTs and identify barriers to activation in a 1,400-bed teaching hospital.
We conducted a 24-item Likert-scale survey from January to May 2017 among residents and ward nurses with RRT experience. Factor analysis was used to identify the barriers.
This study comprised 305 nurses and 53 residents, most of whom were satisfied with their RRT experiences. Factor analysis showed that lack of awareness of activation criteria was a major barrier, with only 21.4% and 22.2% participants, respectively, confident about their knowledge of activation protocols. Of the survey respondents, 85.7% reported first contacting the doctor before activating the RRT. Despite the protocol, 66.7% first discussed the decision with other staff, and 71.5% called the RRT when the patient's condition worsened despite management.
Nurses and residents value RRTs but face barriers in initiation, primarily due to a lack of confidence in applying the activation criteria. Many prefer to consult a doctor or manage the patient before calling the RRT.
启动快速反应团队（RRT）的住院医师和护士能够很好地洞察其有效性。在此，我们评估了一家拥有1400张床位的教学医院对RRT的此类评估，并确定了启动过程中的障碍。
我们在2017年1月至5月期间，对有RRT经验的住院医师和病房护士进行了一项包含24项条目的李克特量表调查。采用因子分析来确定障碍因素。
本研究纳入了305名护士和53名住院医师，他们中的大多数对自己的RRT经历感到满意。因子分析表明，对启动标准缺乏认识是一个主要障碍，分别只有21.4%和22.2%的参与者对自己对启动方案的了解有信心。在调查对象中，85.7%的人报告在启动RRT之前首先联系医生。尽管有相关规定，但66.7%的人首先与其他工作人员讨论这一决定，71.5%的人在尽管进行了治疗但患者病情仍恶化时呼叫RRT。
护士和住院医师重视RRT，但在启动过程中面临障碍，主要原因是对应用启动标准缺乏信心。许多人更愿意在呼叫RRT之前咨询医生或自行处理患者。
