This is a secondary driver from safe clinical and care processes for reliable recognition of deterioration and standardised structured response 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: First consultant review within 14 hours of hospital admission (or sooner if clinically indicated) and daily thereafter
- Team: Local escalation processes enable early involvement of a senior clinical decision maker
Evidence and resources
- Ede J, Hutton R, Watkinson P, Kent B, Endacott R. Improving escalation of deteriorating patients through cognitive task analysis: understanding differences between work-as-prescribed and work-as-done. Int J Nurs Stud. 2024;151:104671.
- Hotta S, Ashida K, Tanaka M. Night-time detection and response in relation to deteriorating inpatients: a scoping review. Nurs Crit Care. 2023. doi:10.1111/nicc.12917.
- National Institute for Health and Care Excellence. Emergency and acute medical care in over 16s. Quality standard [QS174] [online]. 2018
- Scottish Intercollegiate Guidelines Network. SIGN 167: care of deteriorating patients. A national clinical guideline [online]. 2023