The rapid response system : An integrative review

Journal article

Rihari-Thomas, John, DiGiacomo, Michelle, Newton, Phillip, Sibbritt, David and Davidson, Patricia M.. (2019). The rapid response system : An integrative review. Contemporary Nurse. 55(2-3), pp. 139-155.
AuthorsRihari-Thomas, John, DiGiacomo, Michelle, Newton, Phillip, Sibbritt, David and Davidson, Patricia M.

Background: Clinical deterioration and adverse events in hospitals is an increasing cause for concern. Rapid response systems have been widely implemented to identify deteriorating patients.

Aim: We aimed to examine the literature highlighting major historical trends leading to the widespread adoption of rapid response systems, focussing on Australian issues and identifying future focus areas.

Method: Integrative literature review including published and grey literature.

Results: Seventy-eight sources including journal articles and Australian government matierlas resulted. Pertinent themes were the increasing acuity and aging of the population, importance of hospital cultures, the emerging role of the consumer, and proliferation, evolution and standardisation of rapid response systems.

Discussion: Translating evidence to usual care practice is challenging and strongly driven by local factors and political imperatives.

Conclusion: Rapid response systems are complex interventions requiring consideration of contextual factors at all levels. Appropriate resources, a skilled workforce and positive workplace cultures are needed for these systems to reach their full potential.

Keywordshospital rapid response team; clinical deterioration; emergency; emergency treatment
JournalContemporary Nurse
Journal citation55 (2-3), pp. 139-155
Digital Object Identifier (DOI)
PubMed ID31225768
Open accessPublished as green open access
Page range139-155
Author's accepted manuscript
File Access Level
Publisher's version
All rights reserved
File Access Level
Output statusPublished
Publication dates
Online22 Jun 2019
Publication process dates
Accepted16 Jun 2019
Deposited08 Sep 2023
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