ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality
Mortality and Length of Stay Trends Following Implementation of a Rapid Response System and Real-Time Automated Clinical Deterioration Alerts.
Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of Real-Time Automated Clinical Deterioration Alert and Trigger Systems on Clinical Outcomes in Adult General Ward Patients: A Systematic Review and Meta-Analysis.Critical care medicine · 2026Pooled it
- Current Evidence for Continuous Vital Signs Monitoring by Wearable Wireless Devices in Hospitalized Adults: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Dedicated rapid response team implementation associated with reductions in hospital mortality and hospital expenses: a retrospective cohort analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- The associations between rapid response systems and their components with patient outcomes: A scoping review.International journal of nursing studies advances · 2023Article
- Article
- Automated alert and activation of medical emergency team using early warning score.Journal of intensive care · 2021Article
- Article
- Rapid response systems.Resuscitation · 2018Review
- Effect of a Real-Time Electronic Dashboard on a Rapid Response System.Journal of medical systems · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
A study was performed to determine the potential influence of a rapid response system (RRS) employing real-time clinical deterioration alerts (RTCDAs) on patient outcomes involving 8 general medicine units. Introduction of the RRS occurred in 2006 with staged addition of the RTCDAs in 2009. Statistically significant year-to-year decreases in mortality were observed through 2014 ( r = -.794; P = .002). Similarly, year-to-year decreases in the number of cardiopulmonary arrests (CPAs; r = -.792; P = .006) and median lengths of stay ( r = -.841; P = .001) were observed. There was a statistically significant year-to-year increase in the number of RRS activations for these units ( r = .939; P < .001) that was inversely correlated with the occurrence of CPAs ( r = -.784; P = .007). In this single-institution retrospective study, introduction of a RRS employing RTCDAs was associated with lower hospital mortality, CPAs, and hospital length of stay.
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