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News and Updates from today's Recognising and Responding to the Deteriorating Patient conference

Today's 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.

Chris Hancock Programme Manager 1000 Lives Improvement opens the morning by discussing 'National Early Warning Score (NEWS) developments', covering:

  • using NEWS right across the system 
  • developments and tips for success in implementation 
  • ensuring a rapid response to the deteriorating patient 
  • escalation protocols for NEWS and supporting news with technology 
  • our experience and the development of the rapid response team 

In his presentation Chris stated: 

'Correlation does not prove causation'

'Measure of recognition and escalation – news on referral to outreach- old data and that this is not good enough but can use as a metric'

'Sepsis screening tool- what are we trying to achieve?'

'We need to see that our actions have an effect- promoting ownership on the ward - coding in DRIP meetings- weekly meeting to review sepsis forms'

'Attitude is remarkable of having ownership by the whole team- feeding back and examining practice'

You can view Chris' full presentation here

Concluding the morning sessions is John Welch Nurse Consultant - Critical Care University College London Hospitals NHS Foundation Trust & Member National Early Warning Score Development and Implementation Group (NEWSDIG). John delivers an important session on 'Improving care for deteriorating patients and improving the effectiveness of NEWS in an NHS Trust', and will discuss:

  • improving the effectiveness of NEWS in an NHS Trust
  • education and monitoring
  • our experience of recognising and responding the deteriorating patient: what works? 

John commented.....

‘Good evidence is essential but NEWS works well….News is superior on the emergency department and ward’

‘NEWS: how to do it – my personal view’

  • Tell and sell- tailored to audience
  • Compare and contrast with the existing track and trigger system
  • Set it out as a progressive development
  • Facilitate and support

‘88% of hospitals have outreach teams  and 49% have 24/7 outreach and mostly nurses, this is different to the rest of the world’

‘Growing body of evidence introducing an electronic physiological surveillance system on hospital mortality‘

‘Move to standardized structure death review- all hospitals will have to do this’

‘3 out of 10 people in hospitals are in the last year of their life’

Future conferences of interest:

Improving Out of Hours Care in Hospitals: Hospital at Night
Friday 9 December 2016 
Hallam Conference Centre
London

Outstanding CQC Inspections in Hospitals
Monday 6 February 2017 
De Vere W1 Conference Centre
London

Nurse Prescribing for Pain
Friday 10 February 2017 
De Vere W1 Conference Centre
London

Non-Medical Prescribing for Pain
Friday 10 February 
De Vere W1 Conference Centre
London


30 November 2016

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