Author Affiliations: Divisions of General Pediatrics (Dr Sharek) and Cardiology (Dr Roth), Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California; and Department of Biostatistics, Harvard University, Cambridge, Massachusetts (Ms Parast).
In a recent article in the Archives, Joffe et al1 argue that mortality in pediatric hospitals may not be reduced by rapid response team (RRT) implementation, as previously suggested. They base their arguments on methodologic concerns with prior well-acclaimed studies including limitations with before-and-after study designs, lack of risk adjustment, and lack of proof that cardiorespiratory arrest rates declined concurrent with mortality reductions. While we cannot comment on other RRT studies here, we disagree with these 3 criticisms of our study.2
Sharek PJ, Parast LM, Roth SJ. Rapid Response Team Implementation in a Children’s Hospital. Arch Pediatr Adolesc Med. 2011;165(12):1139-1140. doi:10.1001/archpedi.165.12.1139-a