关键词: 快速反应系统；住院患者；不良事件；系统评价再评价；临床结局；护士

Abstract: Objective: To reevaluation the systematic review of the impact of all Rapid Response Systems (RRS) on clinical outcomes in inpatients. Method: The Cochrane Library, PubMed, Medline, CINAHL, EMBASE, CNKI, CMB, WANFANG and VIP database were searched for systematic review or Meta analysis of the impact of all RRS on clinical outcomes in inpatients. Two authors independently screened literature, extracted data and assessed the quality of included studies using the AMSTAR scale. Results: A total of 14 systematic reviews were included. The AMSTAR evaluation results showed that only 4 articles were of high quality, and the worst items in the report were "whether a list of included and excluded research literature was provided" (12 articles), and "whether publishing status was considered in including criteria" (11 articles)" whether a preliminary design scheme was provided" (11 articles), followed by "whether the relevant conflicts of interest were explained" (10 articles). Conclusion: The quality of methodology in systematic review is generally poor. The RRS plays a positive role in the prognosis of in patients, while it still needs further discussion and verification to recommend in clinical to optimize the management of adverse events. It also indicates nurses should improve their professional level to meet the needs of RRS.

Key words: Rapid Response Systems; inpatients; adverse event; overview of systematic review; clinical outcome; nursing staff