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Resource use, governance and case load of rapid response teams in Australia and New Zealand in 2014

Jones, Daryl, Pilcher, David, Boots, Robert, Carter, Angus, Turner, Andrew, Hicks, Peter, Nicholls, Mark, Currey, Judy, Erickson, Simon, Stephens, Dianne, Pinder, Mary, Psirides, Alex, Barrett, Jonathan, Chalwin, Richard, Bellomo, Rinaldo, Hillman, Ken, Buist, Michael, Parker, Jane and Huckson, Sue 2016, Resource use, governance and case load of rapid response teams in Australia and New Zealand in 2014, Critical care and resuscitation, vol. 18, no. 4, pp. 275-282.

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Title Resource use, governance and case load of rapid response teams in Australia and New Zealand in 2014
Author(s) Jones, Daryl
Pilcher, David
Boots, Robert
Carter, Angus
Turner, Andrew
Hicks, Peter
Nicholls, Mark
Currey, JudyORCID iD for Currey, Judy orcid.org/0000-0002-0574-0054
Erickson, Simon
Stephens, Dianne
Pinder, Mary
Psirides, Alex
Barrett, Jonathan
Chalwin, Richard
Bellomo, Rinaldo
Hillman, Ken
Buist, Michael
Parker, Jane
Huckson, Sue
Journal name Critical care and resuscitation
Volume number 18
Issue number 4
Start page 275
End page 282
Total pages 8
Publisher College of Intensive Care Medicine of Australia and New Zealand
Place of publication Prahran, Vic.
Publication date 2016-12
ISSN 1441-2772
Summary Background: Rapid response teams (RRTs) are a mandatory element of Australian national health care policy. However, the uptake, resourcing, case load and funding of RRTs in Australian and New Zealand hospitals remain unknown.

Aim: To assess the clinical activity, funding, staffing and governance of RRTs in Australian and New Zealand hospitals.

Methods: Survey of Australian and New Zealand hospitals as part of a biannual audit of intensive care resources and capacity.

Results: Of 207 hospitals surveyed, 165 (79.7%) participated, including 22 (13.3%) from New Zealand. RRTs were present in 138/143 (95.5%) Australian and 11/22 (50%) New Zealand hospitals equipped with intensive care units (P < 0.001). Additional funding was provided in 43/146 hospitals (29.4%) but was more likely in tertiary ICUs (P < 0.001) and in New Zealand (P = 0.012). ICU staff participated in 147/148 RRTs (99.3%), which involved medical staff only (10.2%), nursing staff only (6.8%), and both medical and nursing staff (76.2%). Isolated ICU nursing involvement was more common in smaller ICUs (P = 0.005), in rural/regional and metropolitan hospitals (P = 0.04), and in New Zealand (P = 0.006). Dedicated ICU outreach registrars and consultants were present in 19/146 hospitals (13.0%) and 14/145 hospitals (9.7%), respectively. The ICU provided oversight for 122/147 RRTs (83%). In the 2013–14 financial year, there were more than 104 000 RRT calls.

Conclusion: In cases where data were known, ICU staff provided staff for most RRTs, and oversight for more than 80% of RRTs. However, additional funding for ICU RRT staff and dedicated doctors was relatively uncommon.
Language eng
Field of Research 111099 Nursing not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, CICM
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30092925

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.