This is a secondary driver from effective and inclusive communication within the Deteriorating Patient driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Deteriorating Patient driver diagram
- Practitioner: Template for handovers to highlight high acuity patients at risk of deterioration
- Team: Shared understanding of team roles and responsibilities when a person deteriorates
- Organisation: Clear and accessible escalation pathway guidance to support timely escalation decisions
Evidence and resources
- Cho S, Lee JL, Kim KS, Kim EM. Systematic review of quality improvement projects related to intershift nursing handover. J Nurs Care Qual. 2022;37(1):E8-14.
- Healthcare Improvement Scotland. Right Decision Service: response to deterioration [online]. 2023
- NHS Education for Scotland. SBAR [online]. Available from: https://learn.nes.nhs.scot/3408/quality-improvement-zone/qi-tools/sbar
- Hong JQY, Chua WL, Smith D, Huang CM, Goh QLP, Liaw SY. Collaborative practice among general ward staff on escalating care in clinical deterioration: a systematic review. J Clin Nurs. 2023;32(17-18):6165-78.
- Public Services Delivery (PSD) Scotland. Recognising and responding when a person is deteriorating [online]. 2022
- Scottish Intercollegiate Guidelines Network. SIGN 167: care of deteriorating patients. A national clinical guideline [online]. 2023
