12/28/2023 0 Comments Smartphrase epic definition![]() A patient may either be transferred to the PICU or care may continue on the pediatric medical-surgical unit with recommendations implemented from the RRT. An RRT can be activated by any staff or family member on the pediatric floor and will both evaluate the patient and take appropriate action based on the RRT’s consensus. An RRT responding team consists of a pediatric intensive care unit (PICU) fellow, PICU registered nurse (RN) and a respiratory therapist (RT). ![]() At our institution, RRTs may be initiated on a pediatric medical-surgical unit, but we employ different processes for responding to patient deterioration on our newborn and pediatric intensive care units and in our emergency departments. Our free-standing, 250-bed, tertiary care children’s hospital first implemented RRTs in 2016. Further, to ensure timely and efficient documentation of the RRE, an EPIC ™ SmartPhrase (i.e., dot phrase) was constructed to ensure that a single medical note provided a concise care plan when reviewed. This study defined key documentation elements to facilitate communication and proposed a standardized flowchart for future practice. Importantly, there has been no published standard for medical documentation following an RRT. ![]() 4, 5, 7 However, RRT processes continue to vary widely across different institutions. Prior pediatric RRT studies have provided some basis for standard expectations during Rapid Response Events (RRE). 2 By recognizing patient decompensation sooner and engaging in earlier interventions, RRTs have been shown to lower unplanned pediatric ICU transfers, decrease the immediate need for mechanical ventilation and vasopressors as well as reduce cardiopulmonary arrest and in-hospital mortality. 1 In 2004, the Institute for Healthcare Improvement (IHI) promoted RRTs as one of the key strategies to reducing patient harm and death. This approach to patient safety is based on early detection and action, which was first implemented in adult patients in Australia in the 1990s, and has now become a critical component of patient safety in major hospitals worldwide. A Rapid Response Team (RRT) is a multi-disciplinary team that provides urgent assessment and intervention when a medical care team member or a family member is concerned about a patient’s deteriorating health condition while in the hospital.
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