Evidence map›Paper›PMID 25466318›Full record

ArticleJournal of critical care2015

The role of the primary care team in the rapid response system.

John C O'Horo, Ronaldo A Sevilla Berrios, Jennifer L Elmer, Venu Velagapudi, Sean M Caples, Rahul Kashyap, Jeffrey B Jensen

Abstract read
In one paragraph

Article in Journal of critical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Rapid response teams improve outcomes: no.Intensive care medicine · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John C O'HoroDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Ronaldo A Sevilla BerriosDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Jennifer L ElmerDepartment of Nursing, Mayo Clinic, Rochester, MN.
Venu VelagapudiDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Sean M CaplesDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Rahul KashyapDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Jeffrey B JensenDepartment of Anesthesiology, Mayo Clinic, Rochester, MN. Electronic address: jensen.jeffrey@mayo.edu.

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

purposeThe purpose of the study is to evaluate the impact of primary service involvement on rapid response team (RRT) evaluations. MATERIALS AND

methodsThe study is a combination of retrospective chart review and prospective survey-based evaluation. Data included when and where the activations occurred and the patient's code status, primary service, and ultimate disposition. These data were correlated with survey data from each event. A prospective survey evaluated the primary team's involvement in decision making and the overall subjective quality of the interaction with primary service through a visual analog scale.

resultsWe analyzed 4408 RRTs retrospectively and an additional 135 prospectively. The primary team's involvement by telephone or in person was associated with significantly more transfers to higher care levels in retrospective (P < .01) and prospective data sets. Code status was addressed more frequently in primary team involvement, with more frequent changes seen in the retrospective analysis (P = .01). Subjective ratings of communication by the RRT leader were significantly higher when the primary service was involved (P < .001).

conclusionsActive primary team involvement influences RRT activation processes of care. The RRT role should be an adjunct to, but not a substitute for, an engaged and present primary care team.

Indexed as

Primary Health CareAgedCommunicationDecision MakingFemaleHospital Rapid Response TeamHumansMaleMiddle AgedPhysicians, Primary CareProcess Assessment, Health CareCommunicationCritical careGuideline adherenceHospital rapid response teamPatient care teamQuality of health care

Identifiers

PMID25466318
PMCPMC4527332

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.