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In 1990, Schein and colleagues changed the paradigm of in-hospital cardiopulmonary arrest. Their report, “Clinical Antecedents to In-Hospital Cardiopulmonary Arrest,” provided evidence from adults suggesting that many arrests could have been prevented if existing signs of deterioration were identified, interpreted, communicated, and responded to appropriately.1 Five years later, Liverpool Hospital published the first report of a rapid response system.2 This marked the start of a patient safety movement that spread quickly to children’s hospitals.3
Bonafide CP, Roland D, Brady PW. Rapid Response Systems 20 Years LaterNew Approaches, Old Challenges. JAMA Pediatr. 2016;170(8):729-730. doi:10.1001/jamapediatrics.2016.0398