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Deteriorating Patient Summit

Monday 16 October 2017
De Vere West One Conference Centre, London

Deteriorating Patient Summit
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“A key component of safety that is a recurrent concern in our reports is the recognition of deteriorating patients and intervention with appropriate treatment before their condition worsens. Hospitals that do this well have very well integrated multidisciplinary teams, often including critical care expertise that supports staff on inpatient wards. Another important tool is the use of an early warning score system. In many hospitals this is not used proactively or effectively, with staff falling back on their own clinical judgement and not recognising or recording change, or not acting appropriately on the early warning scores. Staff in these cases appear to view the early warning score as a burdensome paper exercise, rather than an essential tool to protect patients.” Care Quality Commission, March 2017

“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

The Deteriorating Patient Summit 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.

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. There will also be a focus on investigating avoidable deaths where deterioration has not been recognized.  Extended sessions will focus on identification of deterioration, 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

This conference will enable you to: 

  • Network with colleagues who are working to improve the recognition and management of deteriorating patients 
  • Learn from outstanding practice in improving care for deteriorating patients 
  • Reflect on national developments and learning including latest evidence on NEWS 
  • Develop your skills in identifying deteriorating patietns  
  • Understand how you can improve the communication of NEWS at the interface of care   
  • Develop your skills in the investigations of avoidable deaths where deterioration was not recognized  
  • Self assess, reflect and expand your skills in the management of sepsis 

100% of delegates at our previous conference on this subject would recommend it to a colleagues
 

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