Rapid assessment and treatment (RAT) calls, facilitated by Rapid Response Teams (RRTs), have become vital to the care of hospitalized patients deteriorating outside of the intensive care unit in many institutions worldwide. A significant body of data has recognized the efficacy of rapid response systems (RRSs) in improving patient care; however, there is no standardized protocol that all RRSs practice. Even when the recognition of patient clinical deterioration is rapidly noted, further treatment may be delayed due to issues with clinical knowledge and communication between parties present, especially in training institutions. At our institution in Southern California, the RRT consists of resident physicians supervised by an attending physician, a respiratory therapist, a critical care nurse, and a pharmacist. In our study, we assessed our responses to RAT calls at baseline using a standardized rubric. We then implemented an educational intervention to resident physicians, including clinical and communication components. Finally, we re-assessed our responses to RAT calls post-intervention. We found that an educational intervention improved patient outcomes and several key process measures in our RRS. This article describes the process and lessons learned from our initiative.

中文翻译：

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改进教学医院的快速响应系统：实施新型绩效自我评估工具的经验教训。


在快速响应小组 （RRT） 的协助下，快速评估和治疗 （RAT） 呼叫对于全球许多机构在重症监护病房外病情恶化的住院患者的护理变得至关重要。大量数据已经认识到快速响应系统 （RRS） 在改善患者护理方面的有效性;但是，没有所有 RRS 都遵循的标准化协议。即使迅速发现患者临床恶化，由于临床知识和在场各方之间的沟通问题，尤其是在培训机构中，进一步治疗也可能被延迟。在我们位于南加州的机构，RRT 由住院医师组成，由一名主治医师、一名呼吸治疗师、一名重症监护护士和一名药剂师监督。在我们的研究中，我们使用标准化评分标准评估了我们在基线时对 RAT 呼叫的反应。然后，我们对住院医师实施了教育干预，包括临床和沟通部分。最后，我们重新评估了干预后对 RAT 呼叫的反应。我们发现，教育干预改善了患者预后和 RRS 中的几个关键过程指标。本文介绍了从我们的计划中汲取的流程和经验教训。