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The Pediatric Forum
Dec 2011

Rapid Response Team Implementation in a Children’s Hospital

Author Affiliations

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).

Arch Pediatr Adolesc Med. 2011;165(12):1139-1140. doi:10.1001/archpedi.165.12.1139-a

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

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