Model of rapid response teams in paediatrics and their influence on the quality and safety of inpatient care
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Regional Specialized Children's Hospital in Olsztyn, Poland
Department of Nursing, Faculty of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
Krystyna Piskorz-Ogórek   

Regional Specialized Children’s Hospital in Olsztyn, Żołnierska 18A, 10-561 Olsztyn, Poland. Tel.: +48 605 055 411.
Submission date: 2020-03-04
Final revision date: 2020-05-08
Acceptance date: 2020-05-09
Online publication date: 2020-05-22
The implementation of the rapid response teams (RRTs) system in paediatrics was possible due to the participation of the Regional Specialized Children’s Hospital in Olsztyn, Poland in a project launched by the National Centre for Quality Assessment in Health Care in Cracow, Poland.

Present a model of RRTs system and the effects of its implementation in child care.

Material and methods:
The medical staff survey (n = 97) analysis and complete analysis of the medical records of patients (document analysis; n = 1020) were performed. The variables such as: the number and the type of RRTs interventions, the number of patients admitted to the intensive care unit (ICU) and the hospital mortality rate were analysed. These were compared with the variables obtained before the implementation of RRTs (from 1st November 2018 to 31st August 2019 vs. 1st November 2017 to 31st August 2018).

Results and discussion:
RRTs made 626 surveillance visits to patients with serious conditions staying at hospital wards, 266 scheduled visits to 89 patients transferred from the ICU to other wards and 126 interventions in response to calls from different wards. The number of patients transferred from the hospital wards to the ICU decreased from 125 to 90. The number of deaths in the ICU decreased from 20 to 13.

The evaluation of the 10-month implementation period for this project encourages to keep RRTs operational. The interviewed staff admitted that the safety of inpatient care increased along with more meticulous supervision over patients needing intensive care.

None declared.
None declared.
Jolley J, Bendyk H, Holaday B, Lombardozzi KA, Harmon C. Rapid response teams: do they make a difference? Dimens Crit Care Nurs. 2007;26(6):253–260.
Almeida MC, Portela MC, Paiva EP, et al. Implementation of a rapid response team in a large nonprofit Brazilian hospital: improving the quality of emergency care through Plan-Do-Study-Act. Implantação de um time de resposta rápida em um grande hospital filantrópico brasileiro: melhora na qualidade dos cuidados de emergência por meio do ciclo Planejar-Fazer Estudar-Agir. Rev Bras Ter Intensiva. 2019;31(2):217–226.
Sethi SS, Chalwin R. Governance of rapid response teams in Australia and New Zealand. Anaesth Intensive Care. 2018;46(3):304–312.
Szczeklik W, Fronczek J, Górka J, et al. The implementation of rapid response teams in Poland. Anest Intens Ter. 2019;51(3):182–190 [in Polish].
Szczeklik W, Czarnik T, Czuczwar M, et al. Rapid Response Teams – swift assistance in critical cases in hospital. Part II: the implementation of RRT in Poland. Med Prakt. 2018;10:113-122 [in Polish].
Szczeklik W, Jaeschke R, Kutaj-Wąsikowska H. Rapid Response Teams - swift assistance in critical cases in hospital. Part I: the concept of RRT and their effects on hospitals worldwide. Med Prakt. 2018;9:120-124. [in Polish].
Rapid Response Teams. The Case for Early Intervention Accessed 24.01.2019.
Kolovos NS, Gill J, Michelson PH, et al. Reduction in mortality following pediatric rapid response team implementation. Pediatr Crit Care Med. 2018;19(5):477–482.
Rashid MF, Imran M, Javeri Y, Rajani M, Samad S, Singh O. Evaluation of rapid response team implementation in medical emergencies: A gallant evidence based medicine initiative in developing countries for serious adverse events. Int J Crit Illn Inj Sci. 2014;4(1):3–9.
Trubey R, Huang C, Lugg-Widger FV, et al. Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review. BMJ Open. 2019;5;9: e022105.