ArticleCureus2026
Beyond National Averages: Assessing the Applicability of a National Rapid Response Registry to a Mid-sized Urban Community Teaching Hospital.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Rapid response teams (RRTs) manage deteriorating patients. National benchmarks, like the GWTG-R-MET (Get With The Guidelines-Resuscitation - Medical Emergency Team) registry, guide RRT practices, but their applicability to diverse settings like mid-sized community teaching hospitals is unclear. This study compares RRT characteristics at such a hospital to national registry data to assess applicability and identify local distinctions. We analyzed RRT activations (n = 912) at our institution (July 2022-March 2024) using rapid response (RR) sheets and electronic health record data, including demographics, triggers, disposition, mortality, and International Classification of Diseases, Tenth Edition (ICD-10) coding. Data were recoded to align with published GWTG-R-MET categories (n = 347,401) for direct comparison using chi-squared tests (p < 0.05, significant). Compared to the registry, our hospital had significantly more activations for non-Hispanic Black patients (75.9% vs. 19.7%, p < 0.001) and fewer for non-Hispanic White patients (17.8% vs. 67.2%, p < 0.001). Neurological triggers were higher locally (41.7% vs. 30.7%, p < 0.001), driven by altered mental status and stroke suspicion. Chest pain triggers were markedly higher (16.1% vs. 4.6%, p < 0.001), while respiratory triggers were significantly lower (12.7% vs. 38.0%, p < 0.001). More patients remained on their unit post-RRT (70.4% vs. 54.9%, p < 0.001), fewer transferred to ICU (21.5% vs. 30.0%, p < 0.001), and inpatient mortality was lower (5.8% vs. 14.3%, p < 0.001). National RRT registries provide a valuable framework for understanding RRT practices, but significant local variations in patient demographics, activation patterns, disposition, and outcomes exist. The observed variations highlight the necessity for each hospital to undertake a localized RRT needs assessment to inform tailored improvement strategies and education programs.
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