title: Nursing and Medical Perceptions of a Hospital Rapid Response System: New Process But Same Old Game?
abstract: Perhaps no other patient safety intervention depends so acutely on effective interprofessional teamwork for patient survival than the hospital rapid response system. Yet, little is known about nurse-physician relationships when rescuing at-risk patients. This study compared nursing and medical staff perceptions of a mature rapid response system at a large tertiary hospital. Findings indicate that the rapid response system may be failing to address a hierarchical culture and systems-level barriers to early recognition and response to patient deterioration.
authors.affiliation: School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia (Drs Douglas, Osborne, Windsor, Fox, Booker, Gardner and Ms Jones); Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia (Drs Douglas, Osborne, Windsor, and Gardner); Royal Brisbane and Women's Hospital, Herston, Queensland, Australia (Drs Osborne, Fox, and Booker); and Public Health, University of Queensland, Herston, Queensland, Australia (Ms Jones).
authors.forename: Clint
authors.initials: C
authors.lastname: Douglas
authors.forename: Sonya
authors.initials: S
authors.lastname: Osborne
authors.forename: Carol
authors.initials: C
authors.lastname: Windsor
authors.forename: Robyn
authors.initials: R
authors.lastname: Fox
authors.forename: Catriona
authors.initials: C
authors.lastname: Booker
authors.forename: Lee
authors.initials: L
authors.lastname: Jones
authors.forename: Glenn
authors.initials: G
authors.lastname: Gardner
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D057209:Hospital Rapid Response Team / Q000592:standards*; D006801:Humans; D008503:Medical Staff / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000523:psychology*; D015279:Organizational Culture; D061214:Patient Safety; D019555:Physician-Nurse Relations