Hospital of Distinction THE CHESTER COUNTY HOSPITAL

Rapid Response Team

HOD Rapid Response Team TaskforceMembers:

• Dianne Lanham• Kate Morse• Steve Mosakowski• Cathy Weidman

• Dr. Jill Krasner• Maryann Neuman• Deb Skrajewski• Suzanne Henrick

HOD Rapid Response Team

Taskforce Aim:We will achieve a 10% reduction in our

“Codes Outside of ICU” rate by December 2007

Why is this important to our patients?

• Most patients who have a cardiac arrest have identifiable signs of deterioration 6-8 hrs prior to arrest

• The Rapid Response Team has been implemented to “rescue” any patient who may become unstable and need immediate medical attention

Before and After RRT in Place..

46.9

45.846.2

43.1

41

42

43

44

45

46

47

State of PA TCCH State of PA TCCH

2005 2006

Percent of Cardio-Pulmonary Arrests outside of the Intensive Care Unit

Number of RRT Calls per Month

0

10

20

30

40

50

60

70

80

Where We Are Today:Celebrating Our

Successes

6.6

3.2

5.5

4.3

State of PA TCCH State of PA TCCH

2005 2006

CardioPulmonary Arrests per 1000 Discharges

TCCH

Where We Are Today:Celebrating Our

SuccessesGlobal Triggers for RRT calls

Cardiac33%

Respiratory27%

Neurologic16%

Other24%

Where We Are Today:Celebrating Our

SuccessesWhat Happened to Our Patients

235

64

43

30

3

2

2

0 50 100 150 200 250

Not Transferred

ICU

Remote Telemetry

Telemetry

Cardiac Cath Lab

Death

Operating Room

Future Goals

• Improve Rapid Response documentation

• Investigate patent/family being able to initiate calling Rapid Response Team

• Establish immediate debrief of every Code Blue

• Implement House wide mock codes