title: The limitations in implementing and operating a rapid response system.
abstract: Despite the widespread introduction of rapid response systems (RRS)/medical emergency teams (MET), there is still controversy regarding how effective they are. While there are some observational studies showing improved outcomes with RRS, there are no data from randomised controlled trials to support the effectiveness. Nevertheless, the MET system has become a standard of care in many healthcare organisations. In this review, we present an overview of the limitations in implementing and operating a RRS in modern healthcare.
authors.affiliation: Department of Intensive Care, Frankston Hospital, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.|Department of Medicine, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.|Department of Intensive Care, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.
authors.forename: A
authors.initials: A
authors.lastname: Subramaniam
authors.affiliation: Department of Intensive Care, Frankston Hospital, Monash University, Melbourne, Victoria, Australia.|Department of Intensive Care, Monash University, Melbourne, Victoria, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Botha
authors.affiliation: Department of Intensive Care, Frankston Hospital, Monash University, Melbourne, Victoria, Australia.|Department of Intensive Care, Monash University, Melbourne, Victoria, Australia.
authors.forename: R
authors.initials: R
authors.lastname: Tiruvoipati
mesh_terms: D004636:Emergency Service, Hospital / Q000592:standards*; D017052:Hospital Mortality; D057209:Hospital Rapid Response Team / Q000191:economics / Q000592:standards*; D006801:Humans; D007362:Intensive Care Units; D061214:Patient Safety; D018802:Patient-Centered Care / Q000592:standards*; D010817:Physician-Patient Relations; D013727:Terminal Care
keywords: critical care outreach teams; deteriorating patient; medical emergency team; rapid response service; rapid response team