A small percentage of patients admitted to the hospital progress in their illness becoming unstable and eventually suffering from cardio-pulmonary arrest. Nationwide it has been decided that the modality for improvement is early identification of these patients followed by intervention to stop the progression to cardio-pulmonary arrest. This identification and intervention has taken form as rapid response teams (RRT). In this study, we tested the hypothesis that medical floor unit distance from the intensive care unit (ICU) has an effect on arrival time, time at event, triggers, interventions and outcomes.
Among all in-patients admitted to Hartford Hospital from December 2008 to March 2009, we identified 57 patients on two geographically separate medical units who had an RRT event called. Using a data collection tool we documented various medical floor unit specific measures for analysis. This analysis was performed using SPSS software and the statistics packages that it contained.
The mean time for RRT response was 2.53 and 3.52 minutes for medical Unit A and Unit B respectively with P < .05. Mean time at RRT event was 32.41 and 43.26 minutes for Unit A and Unit B with P > .05. Chi-squared calculated differences in trigger (reasons for activation) were found to have a Chi-Squared value of 9.041, DF 4 and a P > 0.05. Differences in types of intervention were found to have a Chi-Squared value of 7.095, DF 3 with P > 0.05. Differences in outcome were found to have a Chi-squared value of 2.615, DF 3 with P > 0.05.
An expected difference in mean time to RRT event was observed otherwise there was no statistically significant difference in rapid response events when compared between two geographically distinct medical floors.
Our results suggest that distance of the rapid response event from the ICU does not alter the characteristics of the RRT event and supports the idea that staffing model does not affect RRT event causes or outcomes.
Tricia Burke, No Financial Disclosure Information; No Product/Research Disclosure Information