rapid response systems for pediatrics: suggestions for optimal organization and training

Question 1

What are 3 main systemic issues contributing to adverse events?

Answer 1

• failure to plan
• failure to communicate
• failure to recognize a patient’s deteriorating condition

Question 2

What time frame do providers lose skills and knowledge from BLS/PALS?

Answer 2

3-12 months

Question 3

What are the components of a rapid response system?

Answer 3

• standards for vital signs monitoring
  
  • calling criteria or early warning scores
  • planned response army
  • quality monitoring process & administrative arm
  • education on early detection and management of deteriorating patients for front-line health care providers

Question 4

What are components of a rapid response team?

Answer 4

• hospitals with peds inpatients should implement & train RRTs with expertise in pediatrics
• special attention to following:
  
  • composition and member availability
  • calling criteria
  • awareness of and interface with hospital staff
  • methods of activation
• education should include simulation based team training