How to facilitate a rapid response system in Japan: a promotion course based on TeamSTEPPS. Issue 1 (11th February 2020)

• Record Type: Journal Article
• Authors: Fujiwara, Shinsuke; Atagi, Kazuaki; Moriyasu, Megumi; Naito, Takaki; Taneda, Kenichiro; Hsu, Hsiang‐Chin; Lefor, Alan Kawarai; Fujitani, Shigeki
• Is Part Of: Acute medicine & surgery. Volume 7:Issue 1(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-02-11
• Subjects: In‐hospital emergency -- Kotter's 8‐step model -- medical emergency team -- rapid response system -- TeamSTEPPS; Surgery -- Periodicals; Medical emergencies -- Periodicals; 617.005
• DOI: 10.1002/ams2.488
• Languages: English
• ISSNs: 2052-8817

Abstract

Abstract : Aim: In Japan, the number of facilities introducing a rapid response system (RRS) has been increasing. However, many institutions have had unsuccessful implementations. In order to implement RRS smoothly, a plan that meets the needs of each hospital is needed. Methods: Rapid response system teams from each hospital, including a physician and staff in charge of medical safety, from the RRS online registry were invited to attend a workshop. The workshop aimed to develop and implement RRS. The course curriculum was based on the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) developed in the USA. Participating facilities were required to formulate an RRS introduction plan referring to Kotter's 8‐step change model to overcome barriers in the implementation of RRS. The change in medical emergency team activations comparing the intervention and control group hospitals was compared. Results: Sixteen institutions were eligible for this study. After participating in the workshop, there was a tendency toward more frequent activation of medical emergency teams in the intervention group ( P = 0.075). According to a self‐evaluation from each facility, there is great difficulty in overcoming the 5th step of Kotter's model (empower people to act the vision). Conclusion: This step‐by‐step evaluation clearly identified a problem with implementation and provided measures for resolution corresponding to each facility. There was a major barrier to overcome the 5th step of Kotter's model in leading change, which represents the attitude toward implementing RRS in institutions. Abstract : This study investigated the effectiveness of the rapid response system (RRS) promotion course based on TeamSTEPPS to overcome barriers to RRS implementation. We identified the 5th step as the major barrier to introducing RRS using Kotter's 8‐step strategy to promote RRS.