A Rapid Response Team (RRT) System at a Cancer Center: Innovative Approaches to System Organization and Clinical RRT Pathways

Tara Buchholz, Melissa Barzola, Yekaterina Tayban, Neil A. Halpern

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The Rapid Response Team (RRT) system at Memorial Sloan Kettering Cancer Center led by critical care medicine (CCM) advanced practice providers (APPs) expanded exponentially between 2009 and 2021. CCM-APPs are trained for care of critically ill patients as well as to oversee rapid response calls. The RRT is composed of a CCM-based RRT-APP, respiratory therapist, RRT-RN, and nursing supervisor. Since program inception, 11 RRT pathways and interventions have been developed and adjusted to improve multidisciplinary patient management. Pathways vary in complexity and require multidisciplinary collaboration. In some circumstances, the RRT patient may require transfer to outside facilities for services not provided at our oncology-based facility. RRT data are tracked across the hospital continuum with on-line reporting through RRT website dashboards. 2021 RRT data on electronic sepsis alerts, behavioral RRT and stroke alerts are presented. The RRT program is monitored through robust quality assurance. The APP-led RRT system's scope of care has been continuously expanded through the creation of RRT pathways to meet the increasingly complex medical needs of our patients.

Original languageEnglish
Pages (from-to)116-125
Number of pages10
JournalCritical Care Nursing Quarterly
Volume46
Issue number2
DOIs
StatePublished - 1 Apr 2023
Externally publishedYes

Keywords

  • Rapid Response Teams
  • advanced practice providers
  • behavioral rapid response
  • electronic sepsis alerts

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