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dc.contributor.authorMassey, Debbie
dc.contributor.authorAitken, Leanne M
dc.contributor.authorChaboyer, Wendy
dc.contributor.editorRoger Watson, Debra Jackson, Carol Haigh
dc.date.accessioned2017-05-03T13:22:41Z
dc.date.available2017-05-03T13:22:41Z
dc.date.issued2010
dc.date.modified2011-07-12T07:52:23Z
dc.identifier.issn0962-1067
dc.identifier.doi10.1111/j.1365-2702.2010.03394.x
dc.identifier.urihttp://hdl.handle.net/10072/35936
dc.description.abstractAIMS: To conduct a literature review that explores the impact of rapid response systems on reducing major adverse events experienced by deteriorating ward patients. BACKGROUND: Patients located on hospitals wards are frequently older, have multiple co-morbidities and are often at risk of life-threatening clinical deterioration. Rapid response systems have been developed and implemented to provide appropriate and timely intervention to these patients. DESIGN: A comprehensive review of the literature. METHODS: This review used the rapid response systems framework recently developed by experts in the area. Medline, CINAHL, Embase and Cochrane databases were searched from January 1995-June 2009. Sixteen papers were selected that most clearly reflected the research aim. Each paper was critically appraised and systematically assessed. Major themes and findings were identified for each of the studies. RESULTS: The effectiveness of rapid response systems in reducing major adverse events in deteriorating ward patients remains inconclusive. Six studies demonstrated that the introduction of a rapid response systems positively impacted on patient outcomes, but three studies demonstrated no positive impact on patient outcomes. Nursing staff appear reluctant to use rapid response systems; the rationale for this is unclear. However, the continued underuse and inactivation may be one reason why research findings evaluating rapid response systems have been inconclusive. CONCLUSIONS: The paper illustrates two important gaps in the literature. First, 'ramp-up' systems have not been subjected to formal evaluation. Second, rapid response systems are under-activated and underused by nursing staff. There is an urgent need to explore the reasons for this and to identify interventions to improve the activation of these systems in an effort to promote safe and effective care to the deteriorating ward patient. RELEVANCE TO CLINICAL PRACTICE: Rapid response systems are multidimensional models. They are relatively new innovations that have important implications for clinical research and implementation policy. This review contributes to the emerging debate on rapid response systems.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent144591 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishing
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom3260
dc.relation.ispartofpageto3273
dc.relation.ispartofissue23-24
dc.relation.ispartofjournalJournal of Clinical Nursing
dc.relation.ispartofvolume19
dc.rights.retentionY
dc.subject.fieldofresearchClinical Nursing: Primary (Preventative)
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111002
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1701
dc.subject.fieldofresearchcode1117
dc.titleLiterature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2010 Wiley-Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.The definitive version is available at www.interscience.wiley.com
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorChaboyer, Wendy
gro.griffith.authorAitken, Leanne M.
gro.griffith.authorMassey, Debbie L.


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