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Rapid Response Team Responses
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To the Editor: In their Commentary, Drs Winters, Pham, and Pronovost1 correctly identify an unfortunate trend in "quality improvement" in which initiatives are railroaded through that are inadequately supported by scientific evidence. However, I am a critical care fellow in an institution that quickly instituted the RRT after certain publications suggested efficacy, and the popularity of the RRT that I have observed among the house staff deserves comment.
At my institution, the RRT consists of the nursing coordinator of the intensive care units and the respiratory therapy supervisor. In addition to providing patient assessment, these individuals provide immediate resources to residents, nurses, or others who believe a situation to be beyond their knowledge or capacity to manage. The result is that house staff, who may lack assessment or management skills, remain in control of the situation (thereby maximizing learning and building confidence) but can turn to experienced nurses and therapists . . . [Full Text of this Article]
David B. Seder, MD
sederd@mmc.org
Division of Pulmonary and Critical Care Medicine
Maine Medical Center
Portland
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