D3: Three different methods to identify and rescue deteriorating patients

Friday 29 March
11:00 – 12:15

Part A: SIGNS4Kids: A safety and public health initiative

As part of the Canadian Patient Safety Institute’s patient deterioration collaborative, co-lead with Patients for Patient Safety Canada and HIROC, the SIGNS4Kids project enables the effective participation of parents and care-givers in the recognition of clinical deterioration of children at home, in hospital and other locations.

This session will describe the creation and preliminary validation and national rollout of a short, practical list of clinical queues to alert parents and care-givers to seek or escalate care concerns.

After this session, participants will be able to:

1. Understand Rationale for Development of caregiver-oriented tools to aid in recognition of severe illness to enable escalation of care.
2. Describe the process used in the development of an expert-based tool and additional steps required to ensure successful implementation
3. To describe the content of the SIGNS for children tool

Christopher Parshuram, Physician and Senior Scientist, Department of Critical Care Medicine, Hospital for Sick Children

Part B: Using Rapid Response System (RRS) data to improve outcomes of at-risk hospitalised patients

This session will describe the journey to improve recognition and response to clinical deterioration across Eastern Health, a large multisite public health service in Melbourne, Australia including:
– Use of a risk-based approach to identify barriers, threats and opportunities to develop, implement and improve a clinical deterioration framework
– The use of data to determine system and practice reliability and resilience to motivate further improvement and ensure patient safety

After this session, participants will be able to:

1. Have an understanding of using a risk-based approach to identify and prioritise areas requiring improvement to improve patient safety.
2. Have an understanding of using data to determine system and practice reliability and resilience
3. Have an understanding on how use of data can engage clinicians and decision makers

Andrea Doric, Clinical Lead – Clinical Deterioration & Resuscitation, Eastern Health; Australia

Part C: Deteriorating Patient- Improving outcomes and experience across the pathway of care.

Mortality and harm can be reduced by early recognition and person centred care planning for deteriorating patients. Scottish Patient Safety Programme has supported improvement across acute and primary care to take a whole system approach for people in NHS Scotland. This has contributed to improved outcomes/experiences including a 27% reduction in cardiac arrests and a 21% reduction in mortality from sepsis. Delegates will learn about the underpinning contextual and cultural conditions required for successful improvement.

After this session, participants will be able to:

1. Have a clear understanding of the deteriorating patient pathway across the secondary and primary care interface
2. Respond to opportunities for improvement taking a whole system and person-centred approach
3. Categorise enablers and barriers and apply the learning to improve the recognition and treatment of deteriorating patients across the pathway

Calum McGregor, Clinical Lead Acute Care Portfolio, Health Care Improvement Scotland; Scotland