Participation was voluntary and consent was obtained from staff prior to their participation in each research activity.
A structured survey (Table 2 ), relating to confidence in vital signs monitoring tools and practices, was verbally administered to 33 nurses.
Yet, recent research shows that the monitoring and recording of the five vital signs is often incomplete which poses the potential to miss deterioration [ 9 ].
The patient casemix on general wards has changed over recent decades, with patients now older, more acutely ill, experiencing more co-morbidities and facing complex procedures [ 10–12 ].
Family members are a vital part of the healthcare team and are often best positioned to recognize the sometimes subtle, yet very important changes in their loved one's condition that may indicate deterioration.
You may not know WHAT is wrong, but you know something just isn't right.Early detection of patient deterioration and prevention of adverse events are key challenges to patient safety.This study investigated clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards.Yet, general ward patients are still monitored in much the same way as they have for over a century: with nurses intermittently measuring and recording vital signs.Moreover, the frequency of recording varies, with limited evidence to suggest the most effective frequency for measurement [ 13 ].Nurses were confident about their abilities to identify patients at risk of deterioration, using a combination of vital signs and visual assessment.There were concerns about the accuracy of current vital signs monitoring equipment and frequency of intermittent observation.Continuous monitoring technologies are a more proactive approach to the early detection of patient deterioration and have been reported as potentially enhancing early identification of deteriorating patients [ 14 ].There is limited research, however, that assesses clinical staff perceptions regarding patient monitoring and the potential impact of continuous monitoring on practices.Thus, 36 respiratory ward and 38 neurosurgery ward nurses (total 74 nurses) were eligible to participate in the knowledge survey.Prior to commencing the research, we held briefing sessions for staff to explain the study purpose and provide a demonstration of the continuous monitoring devices.
Comments Deteriorating Patient Case Studies
Vital signs monitoring on general wards clinical staff.
Sep 12, 2016. Early detection of patient deterioration and prevention of adverse events. hospitals, general wards, patient safety, evaluation studies as topic. of the deteriorating patient the case for a multi-parameter patient-worn monitor.…
Identifying and managing deteriorating patients - health.vic
There was inadequate recognition of deteriorating patients in the department. Used case studies, clinical champions and one-on-one feedback to engage staff.…
Public Deteriorating Patient Condition
Recognizing Deteriorating Patient Condition – What the public needs to know! Family members are a vital part of the healthcare team and are often.…
A Rapidly Deteriorating Patient with Gross Increase in Serum.
Jul 29, 2019. Clinical Chemistry // Clinical Case Studies // A Rapidly Deteriorating. A Rapidly Deteriorating Patient with Gross Increase in Serum Free Light.…
Emergency Room – Health Case Studies
I did that yesterday, and with that patient dying in the trauma room, I still have to sign. I agree that she's stable right now, but with a big potential to deteriorate.…
Clinical case scenarios - NICE
These case scenarios for health and social care practitioners accompany the. NICE guideline on. reporting and learning from medicines-related patient safety incidents should be in place. This includes. should her condition deteriorate.…
How to measure and record vital signs to ensure detection of.
Nov 30, 2009. Box 1and Box 2 outline case studies showing signs of patient deterioration that were not detected or acted on. Box 1. Case study 1.…
Factors influencing the activation of the rapid response system.
Nov 21, 2017. patient safety, human factors, rapid response system, clinical. Much of this interest was prompted by studies that demonstrated patient deterioration not. General editorials, case reports, and gray literature were excluded to.…
Decision-Making in Acute Care Nursing with Deteriorating.
While caring for a deteriorating patient and to identify the contextual factors that. All the above studies involved case note reviews of cohorts of patients within.…
Use of observation charts to identify clinical deterioration
Identification of patients who are deteriorating and how information such as vital sign. studies. Consciousness and oxygen saturation have also been found to be. medical emergency team activation criteria A case-control study.…