• Mitchell Oscar J L OJL Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States. , Olivia Doran, Eugene Yuriditsky, Christopher Root, Felipe Teran, Kevin Ma, Michael Shashaty, Ari Moskowitz, James Horowitz, and Benjamin S Abella.
• Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, United States.
• Resusc Plus. 2021 Jun 1; 6: 100121.

BackgroundManagement of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members.ObjectiveWe sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic.Design Setting And ParticipantsInternet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States.ResultsClinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic.ConclusionsMost RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training.© 2021 The Author(s).

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