The prevalence and management of deteriorating patients in an Australian emergency department

Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and ch...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Connell, Clifford J. [verfasserIn] Endacott, Ruth [verfasserIn] Cooper, Simon [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger

Übergeordnetes Werk:	Enthalten in: Australasian emergency care - Amsterdam : Elsevier, 2018, 24, Seite 112-120
Übergeordnetes Werk:	volume:24 ; pages:112-120

DOI / URN:	10.1016/j.auec.2020.07.008

Katalog-ID:	ELV006132936

Internformat


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024	7		\|a 10.1016/j.auec.2020.07.008 \|2 doi
035			\|a (DE-627)ELV006132936
035			\|a (ELSEVIER)S2588-994X(20)30067-1
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100	1		\|a Connell, Clifford J. \|e verfasserin \|0 (orcid)0000-0002-2765-6355 \|4 aut
245	1	0	\|a The prevalence and management of deteriorating patients in an Australian emergency department
264		1	\|c 2020
336			\|a nicht spezifiziert \|b zzz \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels.
650		4	\|a Emergency department
650		4	\|a Emergency care
650		4	\|a Clinical deterioration
650		4	\|a Patient safety
650		4	\|a Rapid response systems
650		4	\|a Track & trigger
700	1		\|a Endacott, Ruth \|e verfasserin \|0 (orcid)0000-0002-4352-4600 \|4 aut
700	1		\|a Cooper, Simon \|e verfasserin \|0 (orcid)0000-0001-5561-3099 \|4 aut
773	0	8	\|i Enthalten in \|t Australasian emergency care \|d Amsterdam : Elsevier, 2018 \|g 24, Seite 112-120 \|h Online-Ressource \|w (DE-627)101529197X \|w (DE-600)2922090-7 \|w (DE-576)500431779 \|x 2588-994X \|7 nnns
773	1	8	\|g volume:24 \|g pages:112-120
912			\|a GBV_USEFLAG_U
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912			\|a GBV_ILN_24
912			\|a GBV_ILN_31
912			\|a GBV_ILN_32
912			\|a GBV_ILN_40
912			\|a GBV_ILN_60
912			\|a GBV_ILN_62
912			\|a GBV_ILN_63
912			\|a GBV_ILN_65
912			\|a GBV_ILN_69
912			\|a GBV_ILN_70
912			\|a GBV_ILN_73
912			\|a GBV_ILN_74
912			\|a GBV_ILN_90
912			\|a GBV_ILN_95
912			\|a GBV_ILN_100
912			\|a GBV_ILN_101
912			\|a GBV_ILN_105
912			\|a GBV_ILN_110
912			\|a GBV_ILN_151
912			\|a GBV_ILN_224
912			\|a GBV_ILN_370
912			\|a GBV_ILN_602
912			\|a GBV_ILN_702
912			\|a GBV_ILN_2001
912			\|a GBV_ILN_2003
912			\|a GBV_ILN_2004
912			\|a GBV_ILN_2005
912			\|a GBV_ILN_2006
912			\|a GBV_ILN_2008
912			\|a GBV_ILN_2011
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_2015
912			\|a GBV_ILN_2020
912			\|a GBV_ILN_2021
912			\|a GBV_ILN_2025
912			\|a GBV_ILN_2026
912			\|a GBV_ILN_2027
912			\|a GBV_ILN_2034
912			\|a GBV_ILN_2038
912			\|a GBV_ILN_2044
912			\|a GBV_ILN_2048
912			\|a GBV_ILN_2049
912			\|a GBV_ILN_2050
912			\|a GBV_ILN_2055
912			\|a GBV_ILN_2056
912			\|a GBV_ILN_2059
912			\|a GBV_ILN_2061
912			\|a GBV_ILN_2064
912			\|a GBV_ILN_2065
912			\|a GBV_ILN_2068
912			\|a GBV_ILN_2088
912			\|a GBV_ILN_2111
912			\|a GBV_ILN_2112
912			\|a GBV_ILN_2113
912			\|a GBV_ILN_2118
912			\|a GBV_ILN_2122
912			\|a GBV_ILN_2129
912			\|a GBV_ILN_2143
912			\|a GBV_ILN_2147
912			\|a GBV_ILN_2148
912			\|a GBV_ILN_2152
912			\|a GBV_ILN_2153
912			\|a GBV_ILN_2190
912			\|a GBV_ILN_2232
912			\|a GBV_ILN_2336
912			\|a GBV_ILN_2470
912			\|a GBV_ILN_2507
912			\|a GBV_ILN_2522
912			\|a GBV_ILN_4035
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4046
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4242
912			\|a GBV_ILN_4251
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4307
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4322
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4326
912			\|a GBV_ILN_4333
912			\|a GBV_ILN_4334
912			\|a GBV_ILN_4335
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4393
951			\|a AR
952			\|d 24 \|h 112-120

Indexfelder

author_variant	c j c cj cjc r e re s c sc
matchkey_str	article:2588994X:2020----::hpeaecadaaeetfeeirtnptetiaasrl
hierarchy_sort_str	2020
publishDate	2020
allfields	10.1016/j.auec.2020.07.008 doi (DE-627)ELV006132936 (ELSEVIER)S2588-994X(20)30067-1 DE-627 ger DE-627 rda eng 610 DE-600 Connell, Clifford J. verfasserin (orcid)0000-0002-2765-6355 aut The prevalence and management of deteriorating patients in an Australian emergency department 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels. Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger Endacott, Ruth verfasserin (orcid)0000-0002-4352-4600 aut Cooper, Simon verfasserin (orcid)0000-0001-5561-3099 aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 24, Seite 112-120 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:24 pages:112-120 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 24 112-120
spelling	10.1016/j.auec.2020.07.008 doi (DE-627)ELV006132936 (ELSEVIER)S2588-994X(20)30067-1 DE-627 ger DE-627 rda eng 610 DE-600 Connell, Clifford J. verfasserin (orcid)0000-0002-2765-6355 aut The prevalence and management of deteriorating patients in an Australian emergency department 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels. Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger Endacott, Ruth verfasserin (orcid)0000-0002-4352-4600 aut Cooper, Simon verfasserin (orcid)0000-0001-5561-3099 aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 24, Seite 112-120 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:24 pages:112-120 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 24 112-120
allfields_unstemmed	10.1016/j.auec.2020.07.008 doi (DE-627)ELV006132936 (ELSEVIER)S2588-994X(20)30067-1 DE-627 ger DE-627 rda eng 610 DE-600 Connell, Clifford J. verfasserin (orcid)0000-0002-2765-6355 aut The prevalence and management of deteriorating patients in an Australian emergency department 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels. Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger Endacott, Ruth verfasserin (orcid)0000-0002-4352-4600 aut Cooper, Simon verfasserin (orcid)0000-0001-5561-3099 aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 24, Seite 112-120 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:24 pages:112-120 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 24 112-120
allfieldsGer	10.1016/j.auec.2020.07.008 doi (DE-627)ELV006132936 (ELSEVIER)S2588-994X(20)30067-1 DE-627 ger DE-627 rda eng 610 DE-600 Connell, Clifford J. verfasserin (orcid)0000-0002-2765-6355 aut The prevalence and management of deteriorating patients in an Australian emergency department 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels. Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger Endacott, Ruth verfasserin (orcid)0000-0002-4352-4600 aut Cooper, Simon verfasserin (orcid)0000-0001-5561-3099 aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 24, Seite 112-120 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:24 pages:112-120 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 24 112-120
allfieldsSound	10.1016/j.auec.2020.07.008 doi (DE-627)ELV006132936 (ELSEVIER)S2588-994X(20)30067-1 DE-627 ger DE-627 rda eng 610 DE-600 Connell, Clifford J. verfasserin (orcid)0000-0002-2765-6355 aut The prevalence and management of deteriorating patients in an Australian emergency department 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels. Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger Endacott, Ruth verfasserin (orcid)0000-0002-4352-4600 aut Cooper, Simon verfasserin (orcid)0000-0001-5561-3099 aut Enthalten in Australasian emergency care Amsterdam : Elsevier, 2018 24, Seite 112-120 Online-Ressource (DE-627)101529197X (DE-600)2922090-7 (DE-576)500431779 2588-994X nnns volume:24 pages:112-120 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 24 112-120
language	English
source	Enthalten in Australasian emergency care 24, Seite 112-120 volume:24 pages:112-120
sourceStr	Enthalten in Australasian emergency care 24, Seite 112-120 volume:24 pages:112-120
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger
dewey-raw	610
isfreeaccess_bool	false
container_title	Australasian emergency care
authorswithroles_txt_mv	Connell, Clifford J. @@aut@@ Endacott, Ruth @@aut@@ Cooper, Simon @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	101529197X
dewey-sort	3610
id	ELV006132936
language_de	englisch
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author	Connell, Clifford J.
spellingShingle	Connell, Clifford J. ddc 610 misc Emergency department misc Emergency care misc Clinical deterioration misc Patient safety misc Rapid response systems misc Track & trigger The prevalence and management of deteriorating patients in an Australian emergency department
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topic_title	610 DE-600 The prevalence and management of deteriorating patients in an Australian emergency department Emergency department Emergency care Clinical deterioration Patient safety Rapid response systems Track & trigger
topic	ddc 610 misc Emergency department misc Emergency care misc Clinical deterioration misc Patient safety misc Rapid response systems misc Track & trigger
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title	The prevalence and management of deteriorating patients in an Australian emergency department
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title_full	The prevalence and management of deteriorating patients in an Australian emergency department
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title_sort	the prevalence and management of deteriorating patients in an australian emergency department
title_auth	The prevalence and management of deteriorating patients in an Australian emergency department
abstract	Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels.
abstractGer	Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels.
abstract_unstemmed	Background: Complex human and system factors impact the effectiveness of Rapid Response Systems (RRS). Emergency Department (ED) specific RRS are relatively new and the factors associated with their effectiveness are largely unknown. This study describes the period prevalence of deterioration and characteristics of care for deteriorating patients in an Australia ED and examine relationships between system factors and escalation of care.Methods: A retrospective medical record audit of all patients presenting to an Australian ED in two weeks.Results: Period prevalence of deterioration was 10.08% (n =269). Failure to escalate care occurred in nearly half (n =52, 47.3%) of the patients requiring a response (n =110). Appropriate escalation practices were associated with where the patient was being cared for (p =0.01), and the competence level of the person documenting deterioration (p =0.005). Intermediate competence level nurses were nine times more likely to escalate care than novices and experts (p =0.005). While there was variance in escalation practice related to system factors, these associations were not statistically significant.Conclusion: The safety of deteriorating ED patients may be improved by informing care based on the escalation practices of staff with intermediate ED experience and competence levels.
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title_short	The prevalence and management of deteriorating patients in an Australian emergency department
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up_date	2024-07-06T20:20:12.197Z
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The prevalence and management of deteriorating patients in an Australian emergency department

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