Table of Contents

Rapid response systems history and terminology.
RR's general principles.
Measuring and improving safety.
Integrating a rapid response system into a patient safety program.
Acute hospitalist medicine and the rapid response system.
Medical trainees and patient safety.
Rapid response systems: a review of the evidence.
Healthcare systems and their (lack of) integration.
Creating process and policy change in healthcare.
The challenge of predicting in-hospital cardiac arrests and deaths.
The meaning of vital signs.
Matching illness severity with level of care.
Causes of failure to rescue.
Impact of hospital size and location on feasibility of RRS.
Barriers to the implementation of RRS.
An overview of the afferent limb.
The impact of delayed RRS activation.
The case for family activation of the RRS.
RRT: nurse-led RRSs.
MET: physician-led RRSs.
Pediatric RRSs.
Sepsis response team.
Other efferent limb teams: (BAT, DAT, M, H, and trauma).
Other efferent limb teams: crisis response for obstetric patients.
Personnel resources for responding teams.
Equipment, medications, and supplies for an RRS.
The administrative limb.
The second victim.
RRSs in teaching hospitals.
The nurse's view of RRS.
Resident training and RRSs.
Optimizing RRSs through simulation.
Evaluating effectiveness of complex system interventions.
RRS education for ward staff.
Standardized process and outcome assessment tool.
The impact of RRSs on choosing "not-for-resuscitation" status.
The costs and savings. Successor to the editors' groundbreaking book on medical emergency teams, Textbook of Rapid Response Systems addresses the problem of patient safety and quality of care; the logistics of creating an RRS (resource allocation, process design, workflow, and training); the implementation of an RRS (organizational issues, challenges); and the evaluation of program results. Based on successful RRS models that have resulted in reduced in-hospital cardiac arrest and overall hospital death rates, this book is a practical guide for physicians, hospital administrators, and other healthcare professionals.