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This is the first study to include all hospital staff (clinical and non-clinical) in an evaluation of the medical emergency system.
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The inclusion of all hospital staff in the medical emergency team training creates a paradigm for future studies on medical emergency teams.
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We identified the need for members of the RRT to improve their non-technical skills.
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We identified the need for more hospital staff to obtain basic life support certification.
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We identified the potential causes of failure to activate the RRT as lack of knowledge of the activation criteria, fear of criticism, and excessive workload.