Using simulation with interprofessional team training to improve RRT/code performance

Early recognition of and response to changes in patients' conditions are a National Patient Safety Goal. Rapid Response Teams (RRTs) are one safety strategy aimed at early recognition of signs and symptoms of clinical deterioration and reduction in rates of cardiopulmonary arrest and death in hospitalized patients. Mock codes and RRTs are another strategy for improving outcomes.The Corporal Michael J. Crescenz VA Medical Center(CMCVAMC) used data from the American Heart Association National Registry of Cardio-Pulmonary Resuscitation to create an interprofessional, collaborative program using simulation. The program included: review of emergency responses and hands-on sessions with crash cart equipment, airway management, and BLS skills, followed by a mock RRT and Code with debriefing. Participants in this quality improvement initiative were nurses, physicians, anesthetists, pharmacists, and respiratory therapists. They evaluated the simulation as a positive learning experience. Staff and patient outcomes were improved after the program. The program engaged staff and promoted interprofessional collaboration that may ultimately improve the quality of patient care.