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
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Affiliation
The Dudley Group NHS Foundation Trust
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Publication date
2024-04-15
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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.
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.