TY - JOUR
T1 - A Rapid Response Team (RRT) System at a Cancer Center
T2 - Innovative Approaches to System Organization and Clinical RRT Pathways
AU - Buchholz, Tara
AU - Barzola, Melissa
AU - Tayban, Yekaterina
AU - Halpern, Neil A.
N1 - Funding Information:
This work was supported in part by the MSK Cancer Center Support Grant/Core grant (P30 CA008748) and the Department of Anesthesiology and Critical Care Medicine.
Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - 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.
AB - 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.
KW - Rapid Response Teams
KW - advanced practice providers
KW - behavioral rapid response
KW - electronic sepsis alerts
UR - http://www.scopus.com/inward/record.url?scp=85148800429&partnerID=8YFLogxK
U2 - 10.1097/CNQ.0000000000000444
DO - 10.1097/CNQ.0000000000000444
M3 - Article
C2 - 36823738
AN - SCOPUS:85148800429
SN - 0887-9303
VL - 46
SP - 116
EP - 125
JO - Critical Care Nursing Quarterly
JF - Critical Care Nursing Quarterly
IS - 2
ER -