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Deteriorating Patient Summit

Monday 15 May 2017
De Vere West One Conference Centre, London

Deteriorating Patient Summit
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“Of the death and severe harm incidents reported to the NRLS from acute hospitals between 1 January and 31 December 2015, 7% related to a failure to recognise or act on deterioration. The Hogan et al study on preventable deaths found 26% of preventable deaths, using a very broad definition, related to failures in clinical monitoring. These included failure to set up systems, failure to respond to deterioration, and failure to act on test results. Together the two data sources suggest failures in monitoring and failure to act on test results are a major source of serious harm and preventable deaths in hospital…. the timely detection and treatment of the deteriorating patient is a complex problem and, despite all the past 13 initiatives, we continue to see significant issues. It appears that the whole system needs to be looked at afresh to address this important patient safety issue” NHS Improvement, 2016

This one day conference focuses on recognising and responding to the deteriorating patient through improving the reliability of patient observations and ensuring quality of care to reduce failure to rescue of acutely ill patients. The conference opens with a National Update on on developments and improving the effectiveness of the National Early Warning Score (NEWS). The conference will also focus on implementing the patient safety alert and toolkit on supporting safer care of deteriorating patients released in July 2016.

The conference continues with a practical case study based sessions on identifying patients at risk of deterioration, improving practice in patient observations, responding to the deteriorating patient, and improving the communication of NEWS at the interface of care. Extended sessions will focus on cardiac arrests as never events, and improving the response to sepsis.

“All hospitals should have a formal protocol for the early identification and immediate management of patients with sepsis… An early warning score, such as the National Early Warning Score (NEWS) should be used in both primary care and secondary care for patients where sepsis is suspected… On arrival in the emergency department a full set of vital signs, as stated in the Royal College of Emergency Medicine standards for sepsis and septic shock should be undertaken.” NCEPOD

The conference will also feature a Pre Conference Supplier Showcase: Detecting the deteriorating patient through Electronic Vital Signs Monitoring and Advanced Warning Systems which will demonstrate the latest developments in technology to support the detection of the deteriorating patient.

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Good Governance InstituteParkinsons UKSociety of Vascular NursesThe UK Sepsis Trust
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