Table 2

Adverse event and rapid response system (RRS) data collected from the point prevalence study and the prospective study period

CaseyClaytonDandenongMoorabbinTotal
Frequency (per 1000 bed days)
Point prevalence study
 Acute adult patients5928717747570
 Patients who met RRS activation criteria0138223 (4.04%)
 Missed RRS calls053210 (1.75%)
Prospective study
 Bed days264313719 (8 weeks)16756 (10 weeks)364236760
 RRS activation14 (5.30)142 (10.4)180 (10.7)21 (5.67)357 (9.71)
 Cardiac arrest calls2 (0.76)36 (2.62)15 (0.90)1 (0.27)54 (1.47)
 Unplanned ICU admission015 (1.09)8 (0.48)2 (0.55)25 (0.68)
 ICU admission following RRS/cardiac arrest call1 (0.38)69 (5.03)52 (3.10)5 (1.37)127 (3.45)
 Death04 (0.29)3 (0.18)07 (0.19)
 Missed RRS calls—late RRS calls/ICU admissions/deaths020 (1.46)10 (0.60)1 (0.27)31 (0.84)
 Interviews from missed RRS calls058 (26 nurses, 18 medical staff, 14 ICU nursing and medical staff)32 (17 nurses, 11 medical staff, 4 ICU nursing and medical staff)1 (junior medical staff)91 (qualitative data available from 83)