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实施医院快速反应系统的十个步骤。

Ten Steps for Implementing a Hospital Rapid Response System.

作者信息

Cioccari Luca, Bolliger Céline, Luethi Nora

机构信息

Department of Intensive Care Medicine, Kantonsspital Aarau, Tellstrasse 25, Aarau, 5001, Switzerland.

Faculty of Medicine, University of Bern, Bern, Switzerland.

出版信息

J Med Syst. 2025 Apr 28;49(1):55. doi: 10.1007/s10916-025-02186-z.

Abstract

Rapid response systems (RRS) were introduced in the 1990s to address acute patient deterioration outside intensive care units, aiming to prevent adverse outcomes through timely assessment and intervention. While RRS have been widely adopted across many countries, their effectiveness and optimal implementation strategies continue to be debated. These uncertainties arise from differences in study designs, hospital settings, and implementation approaches, highlighting the challenges of implementing and evaluating such complex interventions. This review outlines the key steps for successful RRS implementation, explores strategies to overcome implementation barriers, and highlights strategies for continuous improvement and evaluation of established RRS initiatives.

摘要

快速反应系统(RRS)于20世纪90年代引入,以应对重症监护病房以外的急性患者病情恶化,旨在通过及时评估和干预预防不良后果。虽然RRS已在许多国家广泛采用,但其有效性和最佳实施策略仍存在争议。这些不确定性源于研究设计、医院环境和实施方法的差异,凸显了实施和评估此类复杂干预措施的挑战。本综述概述了成功实施RRS的关键步骤,探讨了克服实施障碍的策略,并强调了对既定RRS举措进行持续改进和评估的策略。

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