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dc.contributor.advisorDaratha, Kenneth B.
dc.creatorSalvatierra, Gail Gobbato
dc.date.accessioned2013-09-18T23:34:55Z
dc.date.available2013-09-18T23:34:55Z
dc.date.issued2012
dc.identifier.urihttp://hdl.handle.net/2376/4647
dc.descriptionThesis (Ph.D.), College of Nursing, Washington State University
dc.description.abstractTHE RELATIONSHIPS BETWEEN RAPID RESPONSE TEAM IMPLEMENTATION AND PATIENT HEALTH OUTCOMESAbstractby Gail Gobbato Salvatierra, Ph.D. Washington State University December 2012 Chair: Kenneth B. DarathaFew studies examining the relationship between implementation of RRTs and health outcomes have been performed in the United States, and no studies have explored the relationships between RRT interventions and patient health outcomes among multiple, geographically contiguous hospitals. The aim of the study was to describe the differences in patient health outcomes before and after the implementation of RRTs within Washington State tertiary hospitals.Patients hospitalized at 12 tertiary hospitals were assigned to either a pre-RRT (n=258,843) or post-RRT (n=269,015) cohort based on the RRT implementation timeframe of the individual institutions. Study outcomes included cardiac arrests, cardiac arrest deaths, and in-hospital mortality, prolonged length of stay and 30-day hospital readmission. Binary logistic regression controlling for age, sex, payer, comorbidity, previous hospitalization, primary diagnosis category, and length of stay were completed.A statistically significant improvement was observed in patient health outcomes in the post-RRT cohort when compared to the pre-RRT cohort; in-hospital mortality (OR=0.89; 95%CI=0.86-0.92; p<0.001), cardiac arrest rates (OR=0.88; 95%CI=0.83-0.93; p<0.001), cardiac arrest deaths (OR=0.75; 95%CI=0.64-0.88; p<0.001), prolonged length of stay (OR=0.89; 95%CI=0.88-0.91; p<0.001), 30-day re-hospitalization (OR=0.97; 95%CI=0.95-0.98; p<0.001).This is the first study to demonstrate the relationship between implementation of an RRT and improvement in patient health outcomes within multiple, geographically contiguous hospitals.
dc.description.sponsorshipCollege of Nursing, Washington State University
dc.languageEnglish
dc.rightsIn copyright
dc.rightsPublicly accessible
dc.rightsopenAccess
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.rights.urihttp://www.ndltd.org/standards/metadata
dc.rights.urihttp://purl.org/eprint/accessRights/OpenAccess
dc.subjectNursing
dc.subjectBinary logistic regression
dc.subjectHospital readmission
dc.subjectpatient health outcomes
dc.subjectRapid response systems
dc.subjectRapid response teams
dc.titleTHE RELATIONSHIPS BETWEEN RAPID RESPONSE TEAM IMPLEMENTATION AND PATIENT HEALTH OUTCOMES
dc.typeElectronic Thesis or Dissertation


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