How to facilitate a rapid response system in Japan: a promotion course based on TeamSTEPPS.
In‐hospital emergency
Kotter’s 8‐step model
TeamSTEPPS
medical emergency team
rapid response system
Journal
Acute medicine & surgery
ISSN: 2052-8817
Titre abrégé: Acute Med Surg
Pays: United States
ID NLM: 101635464
Informations de publication
Date de publication:
Historique:
received:
07
10
2019
revised:
23
12
2019
accepted:
08
01
2020
entrez:
21
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
epublish
Résumé
In Japan, the number of facilities introducing a rapid response system (RRS) has been increasing. However, many institutions have had unsuccessful implementations. In order to implement RRS smoothly, a plan that meets the needs of each hospital is needed. Rapid response system teams from each hospital, including a physician and staff in charge of medical safety, from the RRS online registry were invited to attend a workshop. The workshop aimed to develop and implement RRS. The course curriculum was based on the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) developed in the USA. Participating facilities were required to formulate an RRS introduction plan referring to Kotter's 8-step change model to overcome barriers in the implementation of RRS. The change in medical emergency team activations comparing the intervention and control group hospitals was compared. Sixteen institutions were eligible for this study. After participating in the workshop, there was a tendency toward more frequent activation of medical emergency teams in the intervention group ( This step-by-step evaluation clearly identified a problem with implementation and provided measures for resolution corresponding to each facility. There was a major barrier to overcome the 5th step of Kotter's model in leading change, which represents the attitude toward implementing RRS in institutions.
Identifiants
pubmed: 32076556
doi: 10.1002/ams2.488
pii: AMS2488
pmc: PMC7013205
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e488Informations de copyright
© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.
Déclaration de conflit d'intérêts
Approval of the research protocol: The protocol was approved by the Ethics Committee of NHO Ureshino Medical Center (13‐06). Informed consent: The requirement for informed consent of patients was waived. Registry and registration no. of the study/trial: This study was registered in UMIN‐CTR (UMIN000012045). Animal studies: N/A. Conflict of interest: None.
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