IRCT2013102015077N1 IRCT 2014-01-06 Vice Chancellor for researsh, Qazvin University of Medical Sciences Initiating rapid response nursing team and its impact on patients’ survival Impact of rapid response nursing team on patients’ survival in emergency department and medical ward 2013-07-18 anticipated 714 Complete https://irct.ir/trial/14468 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Stratified random sampling was conducted with 119 blocks. N/A No special disease has been considered. Intervention: Rapid response nursing team consisted of an intensive care nurse specialist and an anesthesia technician who attended in emergency department 24 hours during the week. They rounded emergency department and medical ward at the beginning of each work shift and then every 2 hours as needed. They have been called to attend for patients who experienced deterioration in clinical condition like bradycardia , tachycardia, bradypnea, tachypnea, decrease in LOC, SaO2 and BP, …..The team used to be immediately attendant and helped the staffs to evaluate patients; If the staffs were not enough expert, the team itself performed all necessary interventions according to physician orders or hospital protocols such as O2 therapy, positioning, ECG, blood drawing for laboratory tests,… After each intervention the outcomes including stabilization of patient condition, need to transfer to ICU or CCU, transfer to other centers or cardiopulmonary arrest and unexpected death was recorded..