Clinical triggers: An alternative to a rapid response team

Kendra Moldenhauer, Allison Sabel, Eugene S. Chu, Philip S. Mehler

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


DHMC's clinical triggers program is a promising approach that addresses an unmet patient need. We have seen dramatic reductions in our non-ICU cardiopulmonary arrest rates, along with our ICU bounceback rates. In the context of our hospital, this program aligns well with our teaching mission while maximizing the resources that are currently available. RRTs are certainly one way to prevent the unnoticed deterioration of patients, but programs such as ours, which focus on prevention of ongoing deterioration, may yield more benefit for the patients in institutions similar to DHMC. Although our study does not alter the weight of evidence in the literature, it does offer a new focus on the afferent limb by clarifying the expectations of the primary responders. This was the essence of the deficiency in the aforementioned case study. Death is the natural, albeit sad, endpoint of all lives; the overarching goal of DHMC's clinical triggers system is to prevent the premature death of a hospitalized patient and thereby improve patient safety.

Original languageEnglish (US)
Pages (from-to)164-174
Number of pages11
JournalJoint Commission Journal on Quality and Patient Safety
Issue number3
StatePublished - Mar 2009

ASJC Scopus subject areas

  • Leadership and Management


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