Implementing a Digital Deteriorating Patient Pathway to improve the safety and effectiveness of care of the adult deteriorating patient
Jennings, Adrian Brammer, Philip Annakin, Sian Bromage, Helen Cook, Tom Hickey, M Dhami, Jaghit Ashraf, Fhezan Sahota-Thandi, Ravi Borrington, Stephen
Jennings, Adrian
Brammer, Philip
Annakin, Sian
Bromage, Helen
Cook, Tom
Hickey, M
Dhami, Jaghit
Ashraf, Fhezan
Sahota-Thandi, Ravi
Borrington, Stephen
Abstract
Identification, escalation and clinical review of the deteriorating patient is essential for a safe and effective hospital. We present a deteriorating patient pathway developed within our electronic patient record, including implementation of a digital escalation and senior review process, triggered from a logic algorithm and vital signs. The pathway is activated by an average 43 patients per day with median mortality of 13.3%. Our Trust has seen a significant improvement in escalation and senior review and increased use of treatment escalation plans. The pathway has facilitated a cultural shift in the Trust towards the deteriorating patient. The new pathway is transferrable to both other digital Trusts as well as maternity and paediatric practice.
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Date
2024-04-15
Type
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Citation
Jennings A, Brammer P, Annakin S, Bromage H, Cook T, Hickey M, Dhami J, Ashraf F, Sahota-Thandi R, Borrington S. Implementing a Digital Deteriorating Patient Pathway to improve the safety and effectiveness of care of the adult deteriorating patient. Acute Med. 2024;23(1):18-23. doi: 10.52964/AMJA.0968. PMID: 38619166.
Journal / Source Title
DOI
10.52964/AMJA.0968
PMID
38619166
Publisher
Rila Publication Ltd