Rapid response system adaptations at 40 US hospitals during the COVID-19 pandemic

Oscar J.L. Mitchell, Olivia Doran, Eugene Yuriditsky, Christopher Root, Felipe Teran, Kevin Ma, Michael Shashaty, Ari Moskowitz, James Horowitz, Benjamin S. Abella

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Management of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members. Objective: We sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic. Design, setting, and participants: Internet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States. Results: Clinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic. Conclusions: Most RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training.

Original languageEnglish (US)
Article number100121
JournalResuscitation Plus
StatePublished - Jun 2021


  • COVID-19
  • In-hospital cardiac arrest
  • Rapid Response Teams
  • Survey

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine


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