Rapid Response Teams: Qualitative Analysis of Their Effectiveness

Linda Searle Leach · Ann M. Mayo

80 citations0/0 files storedAmerican Journal of Critical Care

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Team Dynamics and Performance Patient Safety and Medication Errors Interprofessional Education and Collaboration

Abstract

BACKGROUND: Multidisciplinary rapid response teams focus on patients' emergent needs and manage critical situations to prevent avoidable deaths. Although research has focused primarily on outcomes, studies of the actual team effectiveness within the teams from multiple perspectives have been limited. OBJECTIVE: To describe effectiveness of rapid response teams in a large teaching hospital in California that had been using such teams for 5 years. METHODS: The grounded-theory method was used to discover if substantive theory might emerge from interview and/or observational data. Purposeful sampling was used to conduct in-person semistructured interviews with 17 key informants. Convenience sampling was used for the 9 observed events that involved a rapid response team. Analysis involved use of a concept or indicator model to generate empirical results from the data. Data were coded, compared, and contrasted, and, when appropriate, relationships between concepts were formed. Results Dimensions of effective team performance included the concepts of organizational culture, team structure, expertise, communication, and teamwork. CONCLUSIONS: Professionals involved reported that rapid response teams functioned well in managing patients at risk or in crisis; however, unique challenges were identified. Teams were loosely coupled because of the inconsistency of team members from day to day. Team members had little opportunity to develop relationships or team skills. The need for team training may be greater than that among teams that work together regularly under less time pressure to perform. Communication between team members and managing a crisis were critical aspects of an effective response team.

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1998Basics of qualitative research : techniques and procedures for developing grounded theory 2003Speaking Up in the Operating Room: How Team Leaders Promote Learning in Interdisciplinary Action Teams 2003The Link Between Teamwork and Patients’ Outcomes in Intensive Care Units 2018Team Performance in the Operating Room 2008Team Effectiveness In Complex Organizations

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