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dc.contributor.authorMassey, Debbieen_US
dc.contributor.authorAitken, Leanneen_US
dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.editorRoger Watson, Debra Jackson, Carol Haighen_US
dc.date.accessioned2017-05-03T13:22:41Z
dc.date.available2017-05-03T13:22:41Z
dc.date.issued2010en_US
dc.date.modified2011-07-12T07:52:23Z
dc.identifier.issn13652702en_US
dc.identifier.doi10.1111/j.1365-2702.2010.03394.xen_AU
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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent144591 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom3260en_US
dc.relation.ispartofpageto3273en_US
dc.relation.ispartofissue23-24en_US
dc.relation.ispartofjournalJournal of Clinical Nursingen_US
dc.relation.ispartofvolume19en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchClinical Nursing: Primary (Preventative)en_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchcode111002en_US
dc.subject.fieldofresearchcode111003en_US
dc.titleLiterature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 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.comen_AU
gro.date.issued2010
gro.hasfulltextFull Text


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