First Advisor

Cullen, Patricia

Second Advisor

Coast, MaryJo


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

66 pages


Rapid response system (RRS) is considered a powerful tool in patient safety (Simmes, et al., 2013). It is a process where critical care expertise is brought to the patient`s bedside. It is an initiative designed to prevent patient deaths and to improve patient outcomes (Institute of Healthcare Improvement, 2011). The practice issue is, at the medical-surgical floors at a large medical center in one hospitals of Northeastern New York, there is a failure to rescue on their medical-surgical patients secondary to issues concerning delays in activating the rapid response team and delays in recognizing patients` signs and symptoms of deterioration by the medical-surgical nurses. The purpose of this project is to determine if rapid response team (RRT) education will improve bedside nurses` knowledge and skills in activating the team as evidenced by an increase of RRT activation and to determine if RRT education will enhance bedside nurses` clinical decision making in activating the team. The main goal of this project is to provide an effective and timely response to patients` deterioration on the floors. The project` objectives are identified as increasing number of RRT activation by 50%, decreasing munber of patients transferring to the intensive care unit (ICU) by 10%, recognizing patients` conditions early, providing immediate patient intervention(s), and enhancing bedside nurses` clinical decision in activating the team.
This project was implemented through provision of a sixty-minute RRT education to the medical-surgical floor nurses covering RRT education obtained from IHI website, pre and post-tests surveys and statistical analysis. Survey showed mixed results – on analytical statistical analysis, RRT education showed negative correlation and no significance on the nurses` confidence level in activating the team. Meanwhile, pre and post-test results showed that RRT education increased the nurses` confidence level in activating the team.

Date of Award

Fall 2015

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

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