SynthesisInternational journal for quality in health care : journal of the International Society for Quality in Health Care2017
Factors influencing the activation of the rapid response system for clinically deteriorating patients by frontline ward clinicians: a systematic review.
Synthesis in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Patient and family activated escalation systems: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled 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
- Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Quality of diabetes care in cancer: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019Pooled it
- Influence of the CONCERN Early Warning System on Unanticipated ICU Transfers, In-Hospital Mortality, and Length of Stay: Results from a Multi-site Pragmatic Randomized Controlled Clinical Trial.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Trial
- A Realist Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospital Settings.Journal of advanced nursing · 2026Article
- Predictive performance of an extended NEWS model for acute deterioration in general ward inpatients: a retrospective observational study.Journal of Korean biological nursing science · 2026Article
- Enhancing prediction of inpatient deterioration by combining clinical and nurse concern features, with or without temporal clustering.JAMIA open · 2026Article
- "We Don't Want to Cry Wolf": A Qualitative Study About Nurses' Experiences Activating Rapid Response Teams.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Factors associated with emergency department discharge among patients triaged as resuscitation (CTAS level 1): a retrospective cross-sectional study.BMC emergency medicine · 2026Article
- Rapid response teams for new leaders: a narrative review of global evidence and implementation strategies with a focus on Japan.BMJ open quality · 2026Review
- Characteristics and Outcomes of Rapid Response System Activations in Obstetric Patients: A Multicenter Registry-Based Study in Japan.Journal of multidisciplinary healthcare · 2026Article
- [Early warning scores: implementation, challenges and solutions within the initiative of quality in medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- [Modified Delphi study about implementation of early warning scores].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Social Network Analysis of Secure Text Messaging Metadata During Clinical Deterioration in an Inpatient Children's Hospital Setting.Journal of medical systems · 2025Article
- A Bridge Between Cultures for Better Patient Care: A Qualitative Study of the Nurse-Led Rapid Response Team.Scandinavian journal of caring sciences · 2025Article
- Critical Points of Risk in Registered Nurses' Use of a National Early Warning Score-Perceptions and Challenges.Journal of advanced nursing · 2025Article
- A Realist-Informed Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospitals: Testing Program Theories Through Interviews.International journal of mental health nursing · 2025Article
- Capability to identify and manage critical conditions: effects of an interprofessional training intervention.BMC medical education · 2024Article
- A Quality Improvement Project to Reduce Rapid Response System Inequities for Patients with Limited English Proficiency at a Quaternary Academic Medical Center.Journal of general internal medicine · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo synthesize factors influencing the activation of the rapid response system (RRS) and reasons for suboptimal RRS activation by ward nurses and junior physicians. DATA SOURCES: Nine electronic databases were searched for articles published between January 1995 and January 2016 in addition to a hand-search of reference lists and relevant journals. STUDY SELECTION: Published primary studies conducted in adult general ward settings and involved the experiences and views of ward nurses and/or junior physicians in RRS activation were included. DATA EXTRACTION: Data on design, methods and key findings were extracted and collated. RESULTS OF DATA SYNTHESIS: Thirty studies were included for the review. The process to RRS activation was influenced by the perceptions and clinical experiences of ward nurses and physicians, and facilitated by tools and technologies, including the sensitivity and specificity of the activation criteria, and monitoring technology. However, the task of enacting the RRS activations was challenged by seeking further justification, deliberating over reactions from the rapid response team and the impact of workload and staffing. Finally, adherence to the traditional model of escalation of care, support from colleagues and hospital leaders, and staff training were organizational factors that influence RRS activation.
conclusionThis review suggests that the factors influencing RRS activation originated from a combination of socio-cultural, organizational and technical aspects. Institutions that strive for improvements in the existing RRS or are considering to adopt the RRS should consider the complex interactions between people and the elements of technologies, tasks, environment and organization in healthcare settings.
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Registered trials
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.