Acute and Critical Care

Original Articles

Rapid response system
Resident and nurse attitudes toward a rapid response team in a tertiary hospital in South Korea: Sung Yoon Lim, Ho Geol Woo, Jong Sun Park, Young-Jae Cho, Jae Ho Lee, Yeon Joo Lee; Acute Crit Care. 2025;40(1):29-37. Published online February 12, 2025; DOI: https://doi.org/10.4266/acc.004272

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Background
Residents and nurses who activate rapid response teams (RRTs) are well positioned to offer insights on its effectiveness. Here, we assess such evaluation of RRTs and identify barriers to activation in a 1,400-bed teaching hospital.
Methods
We conducted a 24-item Likert-scale survey from January to May 2017 among residents and ward nurses with RRT experience. Factor analysis was used to identify the barriers.
Results
This study comprised 305 nurses and 53 residents, most of whom were satisfied with their RRT experiences. Factor analysis showed that lack of awareness of activation criteria was a major barrier, with only 21.4% and 22.2% participants, respectively, confident about their knowledge of activation protocols. Of the survey respondents, 85.7% reported first contacting the doctor before activating the RRT. Despite the protocol, 66.7% first discussed the decision with other staff, and 71.5% called the RRT when the patient’s condition worsened despite management.
Conclusions
Nurses and residents value RRTs but face barriers in initiation, primarily due to a lack of confidence in applying the activation criteria. Many prefer to consult a doctor or manage the patient before calling the RRT.

Citations

Citations to this article as recorded by

Assessment of Barriers, Perceptions, and Improvement Strategies Related to Rapid Response Team (RRT) Activation: A Comparative Study in an Oncology Setting
Omar Ayaad, Rawan Ibrahim, Hasan Shouaib, Ghalia AlHasani, Khalid Al-Baimani, Jehan AlAbri, Mohamad Majed, Julie Casocot, Athar AlKhirbash, Rajini Kausalya, Ghina Ghauche, Kefah Hassan, Aref Zribi, Karimeldin Khalifa
The Open Public Health Journal.2026;[Epub] CrossRef
The effect of nurses' perceptions and satisfaction with hospital rapid response teams on burnout related to emergency situations in Korea: a cross-sectional study
Bumin Kim, Nahyun Kim
Journal of Korean Biological Nursing Science.2025; 27(2): 234. CrossRef

Rapid response system
Utilization of a rapid response team and associated outcomes in patients with malignancy: Jongmin Lee, Woo Ho Ban, Sei Won Kim, Eun Young Kim, Mi Ra Han, Seok Chan Kim; Acute Crit Care. 2020;35(1):16-23. Published online February 29, 2020; DOI: https://doi.org/10.4266/acc.2019.00675

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Abstract PDF

Background
Recent advances in diagnosis and treatment have improved long-term outcomes in cancer patients. As a result, the requirement for a rapid response team (RRT) for cancer patients is also increasing. This study aimed to analyze utilization of an RRT and the associations between related factors and mortality in a population of cancer patients. Methods: This retrospective cohort study included hospitalized patients at a single academic medical center in Seoul, Korea, who required RRT activation during a 6-year period from June 2013 to December 2018. Results: Overall, 164 of the 457 patients who met the above criteria were cancer patients, and they had a significantly higher Charlson comorbidity score than the non-cancer patients (5.0 vs. 7.0, P<0.001). A significantly larger proportion of cancer patients required intensive care unit transfer (51.8% vs. 41.0%, P=0.032). Cancer patients also had significantly higher in-hospital mortality compared with other patients (39.6% vs. 10.9%, P<0.001). Furthermore, presence of cancer was independently associated with in-hospital mortality (adjusted odds ratio [OR], 2.09; 95% confidence interval [CI], 1.11 to 3.93). Among cancer patients, higher Acute Physiology and Chronic Health Evaluation (APACHE) II at the time of RRT activation was significantly associated with in-hospital mortality regardless of malignancy (adjusted OR, 1.08; 95% CI, 1.01 to 1.15). Conclusions: Cancer patients requiring RRT activation have significantly higher rates of inhospital mortality than patients not using RRT. Higher severity score at the time of RRT activation in patients with malignancy was significantly associated with in-hospital mortality.

Citations

Citations to this article as recorded by

Evaluating the impact of a rapid response system on survival of patients with cancer undergoing emergency surgery for acute abdomen: A single-center retrospective cohort study
Jae Hoon Lee, Sang Yun Jung, Ki Ho Yu, Mee Hee Shin, Yun Jung Choi, Ra Mi Choi, Woo Jin Seo, Sang Hee Park, Won Ho Han, Stefano Turi
PLOS One.2026; 21(1): e0341616. CrossRef
Intensivmedizinisches Kontinuum in der Versorgung von Krebskranken
Catherina Lück
InFo Hämatologie + Onkologie.2023; 26(5): 10. CrossRef
Characteristics and outcomes of patients screened by rapid response team who transferred to the intensive care unit
Song-I. Lee, Jeong Suk Koh, Yoon Joo Kim, Da Hyun Kang, Jeong Eun Lee
BMC Emergency Medicine.2022;[Epub] CrossRef
Characteristics and Prognosis of Hospitalized Patients at High Risk of Deterioration Identified by the Rapid Response System: a Multicenter Cohort Study
Sang Hyuk Kim, Ji Young Hong, Youlim Kim
Journal of Korean Medical Science.2021;[Epub] CrossRef
Novel Adaptive T-Cell Oncological Treatments Lead to New Challenges for Medical Emergency Teams: A 2-Year Experience From a Tertiary-Care Hospital in Switzerland
Anna Sarah Messmer, Yok-Ai Que, Christoph Schankin, Yara Banz, Ulrike Bacher, Urban Novak, Thomas Pabst
Critical Care Explorations.2021; 3(10): e0552. CrossRef
Outcomes of second-tier rapid response activations in a tertiary referral hospital: A prospective observational study
Ken Junyang Goh, Hui Zhong Chai, Lit Soo Ng, Joanna Phone Ko, Deshawn Chong Xuan Tan, Hui Li Tan, Constance Wei-Shan Teo, Ghee Chee Phua, Qiao Li Tan
Annals of the Academy of Medicine, Singapore.2021; 50(11): 838. CrossRef
Effectiveness of Rapid Response Team on In-hospital Mortality in Patients with Hematologic Malignancy
So-Jung Park, Sang-Bum Hong, Chae-Man Lim, Youn-Suck Koh, Jin-Won Huh
Quality Improvement in Health Care.2021; 27(2): 18. CrossRef

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