Trauma Monthly

Published by: Kowsar

Efficacy of a Rapid Response Team on Reducing the Incidence and Mortality of Unexpected Cardiac Arrests

Majid Sabahi 1 , 2 , Seyed Ahmad Fanaei 3 , Seyed Ali Ziaee 4 , * and Farokh Sadat Falsafi 5
Authors Information
1 Faculty of University of Sunny Brook, CA ATLS Instructor by American College of Surgeons, Toronto, Canada
2 Department of Emergency Medicine, Atieh Hospital, Tehran, IR Iran
3 Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
4 ATLS Instructor by American College of Surgeons, Emergency Department of Saudi German Hospital, Dubai, UAE
5 Coordinator of Iran-ATLS Association, Atieh Hospital, Tehran, IR Iran
Article information
  • Trauma Monthly: July 31, 2012, 17 (2); 270-274
  • Published Online: July 31, 2012
  • Article Type: Research Article
  • Received: January 15, 2012
  • Revised: May 28, 2012
  • Accepted: May 29, 2012
  • DOI: 10.5812/traumamon.4170

To Cite: Sabahi M, Fanaei S A, Ziaee S A, Falsafi F S. Efficacy of a Rapid Response Team on Reducing the Incidence and Mortality of Unexpected Cardiac Arrests, Trauma Mon. 2012 ; 17(2):270-274. doi: 10.5812/traumamon.4170.

Copyright © 2012, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324(6): 377-84[DOI][PubMed]
  • 2. Wilson RM, Harrison BT, Gibberd RW, Hamilton JD. An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust. 1999; 170(9): 411-5[PubMed]
  • 3. Peatfield RC, Sillett RW, Taylor D, McNicol MW. Survival after cardiac arrest in hospital. Lancet. 1977; 1(8024): 1223-5[DOI]
  • 4. Bedell SE, Delbanco TL, Cook EF, Epstein FH. Survival after cardiopulmonary resuscitation in the hospital. N Engl J Med. 1983; 309(10): 569-76[DOI][PubMed]
  • 5. Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98(6): 1388-92[DOI][PubMed]
  • 6. Franklin C, Mathew J. Developing strategies to prevent inhospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med. 1994; 22(2): 244-7[DOI][PubMed]
  • 7. Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust. 1999; 171(1): 22-5[PubMed]
  • 8. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000; 38(3): 261-71[DOI][PubMed]
  • 9. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001; 322(7285): 517-9[DOI][PubMed]
  • 10. Hillman KM, Bristow PJ, Chey T, Daffurn K, Jacques T, Norman SL, et al. Antecedents to hospital deaths. Intern Med J. 2001; 31(6): 343-8[DOI][PubMed]
  • 11. Hillman KM, Bristow PJ, Chey T, Daffurn K, Jacques T, Norman SL, et al. Duration of life-threatening antecedents prior to intensive care admission. Intensive Care Med. 2002; 28(11): 1629-34[DOI][PubMed]
  • 12. Hodgetts TJ, Brown T, Driscoll P, Hanson J. Pre-hospital cardiac arrest: room for improvement. Resuscitation. 1995; 29(1): 47-54[DOI]
  • 13. Lee A, Bishop G, Hillman KM, Daffurn K. The Medical Emergency Team. Anaesth Intensive Care. 1995; 23(2): 183-6[PubMed]
  • 14. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A. The patient-at-risk team: identifying and managing seriously ill ward patients. Anaesthesia. 1999; 54(9): 853-60[DOI][PubMed]
  • 15. Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007; 62(5): 1223-7[PubMed]
  • 16. Dacey MJ, Mirza ER, Wilcox V, Doherty M, Mello J, Boyer A, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007; 35(9): 2076-82[DOI][PubMed]
  • 17. McFarlan SJ, Hensley S. Implementation and outcomes of a rapid response team. J Nurs Care Qual. 2007;22(4):307-13, .; 22(4): 307-13[PubMed]
  • 18. Hodgetts TJ, Kenward G, Vlachonikolis IG, Payne S, Castle N. The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team. Resuscitation. 2002; 54(2): 125-31[DOI]
  • 19. Hillman K, Chen J, Cretikos M, Bellomo R, Brown D, Doig G, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005; 365(9477): 2091-7[DOI]
  • 20. Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010; 170(1): 18-26[DOI][PubMed]
  • 21. McGaughey J, Alderdice F, Fowler R, Kapila A, Mayhew A, Moutray M. Outreach and Early Warning Systems (EWS) for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards. Cochrane Database Syst Rev. 2007; (3)[PubMed]
  • 22. Jones DA, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011; 365(2): 139-46[DOI][PubMed]
  • 23. Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA. 2008; 300(21): 2506-13[DOI][PubMed]
  • 24. Jones D, Bellomo R, DeVita MA. Effectiveness of the Medical Emergency Team: the importance of dose. Crit Care. 2009; 13(5): 313[DOI][PubMed]
  • 25. Bristow PJ, Hillman KM, Chey T, Daffurn K, Jacques TC, Norman SL, et al. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust. 2000; 173(5): 236-40[PubMed]
  • 26. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324(7334):387-90; 324(7334): 387-90[DOI][PubMed]
  • 27. Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart GK, Opdam H, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust. 2003; 179(6): 283-7[PubMed]
  • 28. Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart G, Opdam H, et al. Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med. 2004; 32(4): 916-21[DOI][PubMed]
  • 29. Kenward G, Castle N, Hodgetts T, Shaikh L. Evaluation of a medical emergency team one year after implementation. Resuscitation. 2004; 61(3): 257-63[DOI][PubMed]
  • 30. DeVita MA, Braithwaite RS, Mahidhara R, Stuart S, Foraida M, Simmons RL. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004; 13(4): 251-4[DOI][PubMed]
  • 31. Priestley G, Watson W, Rashidian A, Mozley C, Russell D, Wilson J, et al. Introducing Critical Care Outreach: a ward-randomised trial of phased introduction in a general hospital. Intensive Care Med. 2004; 30(7): 1398-404[DOI][PubMed]
  • 32. Jones D, Bellomo R, Bates S, Warrillow S, Goldsmith D, Hart G, et al. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care. 2005; 9(6)-15[DOI][PubMed]
  • 33. Jones D, Opdam H, Egi M, Goldsmith D, Bates S, Gutteridge G, et al. Long-term effect of a Medical Emergency Team on mortality in a teaching hospital. Resuscitation. 2007; 74(2): 235-41[DOI][PubMed]
  • 34. Jones D, Egi M, Bellomo R, Goldsmith D. Effect of the medical emergency team on long-term mortality following major surgery. Crit Care. 2007; 11(1)[DOI][PubMed]
  • 35. Buist M, Harrison J, Abaloz E, Van Dyke S. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ. 2007; 335(7631): 1210-2[DOI][PubMed]
  • 36. Jones D, George C, Hart GK, Bellomo R, Martin J. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008; 12(2)[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments