Deteriorating Patient Case Studies

Deteriorating Patient Case Studies-41
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 ].

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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.

The researcher provided statements and asked respondents to indicate whether they strongly agreed, agreed, were uncertain, disagreed or strongly disagreed with each statement.

Data from the survey were analysed in SPSS (IBM SPSS Statistics 22) applying descriptive statistics.

As part of a larger project aimed at improving safety through timely recognition of deterioration, this study conducted a formative evaluation to assess perceptions of the implementation of continuous monitoring devices on general wards.

Formative evaluation in the early stages of technology implementation projects has been advocated as means to inform feasibility, provide opportunities for iterative assessments of intervention viability, guide the development and refinement of interventions, and characterize success factors in the quest to optimize patient safety [ 15 , 16 ].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.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.Both the nurses and the doctors were enthusiastic about the prospect of continuous monitoring and perceived it would allow earlier identification of patient deterioration; provide reassurance to patients; and support interdisciplinary communication.There were also reservations about continuous monitoring, including potential decrease in bedside nurse–patient interactions; increase in inappropriate escalations of patient care; and discomfort to patients.The aim of this study was to investigate clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards.The study objectives were to We undertook a multi-method study comprising structured surveys, in-depth interviews and log books (Table 1 ).While continuous monitoring devices were seen as a potentially positive tool to support the identification of patient deterioration, drawbacks, such as the potential for reduced patient contact, revealed key areas that will require close surveillance following the implementation of devices.Training and improved interdisciplinary communication were identified as key requisites for successful implementation. These signs are universally used to monitor patients’ progress.

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