RT Journal A1 Sharek PJ, Parast LM, Roth SJ T1 RApid response team implementation in a children’s hospital JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2011 FD December 1 VO 165 IS 12 SP 1139 OP 1140 DO 10.1001/archpedi.165.12.1139-a UL http://dx.doi.org/10.1001/archpedi.165.12.1139-a AB In a recent article in the Archives, Joffe et al1 argue that mortality in pediatric hospitals may not be reduced by rapid response team (RRT) implementation, as previously suggested. They base their arguments on methodologic concerns with prior well-acclaimed studies including limitations with before-and-after study designs, lack of risk adjustment, and lack of proof that cardiorespiratory arrest rates declined concurrent with mortality reductions. While we cannot comment on other RRT studies here, we disagree with these 3 criticisms of our study.2