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August 2016

Rapid Response Systems 20 Years Later: New Approaches, Old Challenges

Author Affiliations
  • 1Division of General Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
  • 2Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 3Pediatric Emergency Medicine Leicester Academic Group, Leicester Royal Infirmary, Leicester, United Kingdom
  • 4Department of Health Sciences, Social Science Applied to Healthcare Improvement Research Group, University of Leicester, Leicester, United Kingdom
  • 5Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • 6Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio
JAMA Pediatr. 2016;170(8):729-730. doi:10.1001/jamapediatrics.2016.0398

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