A Rapid Response Team (RRT) system at a cancer center: Innovative approaches to system organization and clinical RRT pathways Journal Article


Authors: Buchholz, T.; Barzola, M.; Tayban, Y.; Halpern, N. A.
Article Title: A Rapid Response Team (RRT) system at a cancer center: Innovative approaches to system organization and clinical RRT pathways
Abstract: The Rapid Response Team (RRT) system at Memorial Sloan Kettering Cancer Center led by critical care medicine (CCM) advanced practice providers (APPs) expanded exponentially between 2009 and 2021. CCM-APPs are trained for care of critically ill patients as well as to oversee rapid response calls. The RRT is composed of a CCM-based RRT-APP, respiratory therapist, RRT-RN, and nursing supervisor. Since program inception, 11 RRT pathways and interventions have been developed and adjusted to improve multidisciplinary patient management. Pathways vary in complexity and require multidisciplinary collaboration. In some circumstances, the RRT patient may require transfer to outside facilities for services not provided at our oncology-based facility. RRT data are tracked across the hospital continuum with on-line reporting through RRT website dashboards. 2021 RRT data on electronic sepsis alerts, behavioral RRT and stroke alerts are presented. The RRT program is monitored through robust quality assurance. The APP-led RRT system's scope of care has been continuously expanded through the creation of RRT pathways to meet the increasingly complex medical needs of our patients.
Journal Title: Critical Care Nursing Quarterly
Volume: 46
Issue: 2
ISSN: 0887-9303
Publisher: Wolters Kluwer Health | Lippincott Williams & Wilkins  
Date Published: 2023-04-01
Start Page: 116
End Page: 125
Language: English
DOI: 10.1097/cnq.0000000000000444
PROVIDER: EBSCOhost
PROVIDER: cinahl
PUBMED: 36823738
PMCID: PMC10351879
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF --Corresponding author is MSK author: Tara Buchholz -- Source: Cinahl
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MSK Authors
  1. Neil A Halpern
    147 Halpern
  2. Yekaterina D Tayban
    15 Tayban