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Dana P. Edelson, MD, MS

Arch Intern Med. 2010;170(1):12-13.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In-hospital cardiac arrest (IHCA) is often the end result of progressive clinical deterioration caused by reversible underlying causes such as sepsis and respiratory failure, which have better survival the earlier they are treated.¹ It therefore follows that a rapid response system (RRS) designed to identify early signs of clinical deterioration and activate a specialized team of clinicians should decrease hospital mortality. This idea is so intuitive that it might be reasonable to disregard some evidence to the contrary,² as the Joint Commission³ did with its 2008 National Patient Safety Goals, mandating such a system in US hospitals.

In this issue of the Archives, Chan and colleagues⁴ deal another blow to this widespread patient safety practice. The authors present a meta-analysis of 18 RRS trials and demonstrate a significant reduction in cardiac arrest rates outside the intensive care unit without a significant improvement in overall . . . [Full Text of this Article]

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