DOI: 10.36347/sjams.2018.v06i06.021

Pages: 2418-2422

Our hospital includes a total of 577 beds, two hundred fifteen physicians work in the hospital along with 705 nurses. On average, the hospital treats a total of 1,600 outpatients daily, and the inpatient facilities are almost fully occupied. A rapid response system (RRS) is activated by staff members in the inpatient and outpatient wards. There is only one other English report concerning the implementation of an RRS in Japan. We herein report the results of the implementation of an RRS in our hospital. The review of the RRS reports was retrospectively performed in all cases in which the activation of the RRS was required in our hospital between April 2017 and March 2018. There were 32 cases in which the activation of the RRS was required during the investigation period; all patients were defined as subjects. Twenty-one of the patients were male. Most cases involved patients of 70–90 years of age. Eleven of the cases involved inpatients. An extreme predominance was seen in daytime activations, particularly around noon. The cardiology department was predominant, followed by the cardiovascular, psychiatry, and gynecology departments. The reasons for RRS activation included consciousness disturbance (n=23), cardiac arrest (n=15), respiratory arrest (n=9), and convulsion (n=4) in total. Final mortality rate was 28%. Male sex, advanced age, cardiogenic disease and daytime were risk factors for the activation of the RRS in the present study.