Hospital-wide Code Rates and Mortality Before and After Implementation of a Rapid Response Team

Authors:
  • AKAdnan Khalid
    Adnan Khalid
  • LLLance S. Longmore
    Lance S. Longmore
  • RBRobert A. Berg
    Robert A. Berg
  • MKMikhail Kosiborod
    Mikhail Kosiborod
  • JSJohn A. Spertus
    John A. Spertus

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Abstract
In-hospital cardiac arrests are common1,2 and delays in treatment are associated with lower survival and worse neurological outcomes.1 Prior studies have reported that adult patients often exhibit physiological deterioration hours before cardiopulmonary arrest.3-5 As a result, the Institute for Healthcare Improvement recommended in their 100 000 Lives Campaign that hospitals implement rapid response teams as 1 of 6 strategies to reduce preventable in-hospital deaths.6 In response, hundreds of hospitals around the country have invested significant financial and personnel resources in implementing rapid response teams, despite the fact that limited published data support their effectiveness.