Advanced Practice Providers Versus Medical Residents As Leaders of Rapid Response Teams: A 12-month Retrospective Analysis

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2022 Aug 23

PMID 35998147

Authors

Herman G Kreeftenberg

Ashley J R de Bie

Eveline H J Mestrom

Alexander J G H Bindels

Peter H J van der Voort

Affiliations

Soon will be listed here.

Abstract

Purpose: In a time of worldwide physician shortages, the advanced practice providers (APPs) might be a good alternative for physicians as the leaders of a rapid response team. This retrospective analysis aimed to establish whether the performance of APP-led rapid response teams is comparable to the performance of rapid response teams led by a medical resident of the ICU.

Material And Methods: In a retrospective single-center cohort study, the electronic medical record of a tertiary hospital was queried during a 12-months period to identify patients who had been visited by our rapid response team. Patient- and process-related outcomes of interventions of rapid response teams led by an APP were compared with those of teams led by a medical resident using various parameters, including the MAELOR tool, which measures the performance of a rapid response team.

Results: In total, 179 responses of the APP-led teams were analyzed, versus 275 responses of the teams led by a resident. Per APP, twice as many calls were handled than per resident. Interventions of teams led by APPs, and residents did not differ in number of admissions (p = 0.87), mortality (p = 0.8), early warning scores (p = 0.2) or MAELOR tool triggering (p = 0.19). Both groups scored equally on time to admission (p = 0.67) or time until any performed intervention.

Conclusion: This retrospective analysis showed that the quality of APP-led rapid response teams was similar to the quality of teams led by a resident. These findings need to be confirmed by prospective studies with balanced outcome parameters.

Citing Articles

Advanced Practice Providers as Leaders of a Rapid Response Team: A Prospective Cohort Study.

Kreeftenberg H, de Bie A, Aarts J, Bindels A, van der Meer N, van der Voort P Healthcare (Basel). 2022; 10(11).

PMID: 36360463 PMC: 9690181. DOI: 10.3390/healthcare10112122.

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