الفهرس 
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Abstract
Background: Rapid Response Teams (RRTs) help in the early recognition of deteriorating patients in hospital wards, and provide the needed management at the bedside by a qualified team. Because the current evidence on RRTs effects is contradictory, their effectiveness is still up for debate. To date, according to our knowledge, no published studies have shown the effectiveness of RRT implementation on rates of mortality and cardiopulmonary arrests in Egypt.
Objective: To determine some selected indicators before the establishment of Rapid Response Team, to establish Rapid Response Team service in an Egyptian University Hospital, to evaluate outcomes of Rapid Response Team establishment through measuring selected indicators after implementation of the Rapid Response Service, and to identify potential challenges and barriers that may face the implementation of Rapid Response Team service.
Methods: An intervention study was conducted at Cardiovascular Hospital, Ain Shams University; an Egyptian University tertiary hospital, that includes 145 beds hospital, including 56 ICU beds, with average admission of 6000 adult/ pediatric patients per year. The study was carried out in the period between January 2018 to December 2021.
Result: RRT implementation resulted in a significant reduction in mortality rate, Inpatient mortality rate significantly decreased from 88.9 to 46.4 deaths per 1000 discharges after RRT implementation, (relative risk reduction, 0.52; 95% Confidence Interval (CI), 0.4199 to 0.6248; P=0.0004). Moreover, the study showed that RRT implementation resulted also in a significant reduction in inpatient cardiopulmonary arrest rate, as it significantly decreased from 7.41 to 1.77 inpatient cardiopulmonary arrest calls per 1000 discharges after RRT implementation, (relative risk reduction, 0.24; 95% Confidence Interval (CI), 0.0345 to 0.5563; P=0.0001).
Conclusion: Implementation of RRT in a tertiary hospital in Egypt has shown a significant reduction in hospital inpatient mortality and cardiopulmonary arrest rates. These findings add to the mounting evidence that implementing RRT decreases the rates of hospital mortality and cardiopulmonary arrest.