Simulation-Based Training Improves Rapid Response Team Activation in Academic Medical Centers

Background: Delayed rapid response team (RRT) activation remains a leading cause of preventable in-hospital mortality. Simulation-based training programs have shown promise in improving recognition of clinical deterioration, but evidence from academic medical centers is limited. Objective: To evaluate the effect of a structured simulation-based training intervention on time-to-RRT activation among nursing staff in a 650-bed academic medical center. Methods: We conducted a prospective quasi-experimental study with a historical control. Nursing staff (n=312) participated in quarterly simulation training sessions using high-fidelity mannequins. Primary outcomes were mean time-to-activation (minutes) and activation rate per 1,000 patient-days, compared with the preceding 12-month period. Results: Mean time-to-RRT activation decreased from 18.4 minutes (SD 6.2) to 11.7 minutes (SD 4.1) post-intervention (p<0.001). Activation rate increased from 3.2 to 5.8 per 1,000 patient-days, reflecting improved early recognition rather than increased patient acuity. Nurse confidence scores (Likert scale) improved significantly across all domains. Conclusions: Structured simulation training significantly reduced RRT activation delays and improved nurse confidence. Implementation of quarterly simulation programs is recommended for academic medical centers seeking to reduce preventable deterioration events.