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- Escalating concerns is defined as taking a concern further by submitting evidence and going through the formal organisation processes.
www.rcn.org.uk/-/media/Royal-College-Of-Nursing/Documents/Publications/2023/June/010-714.pdf
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Dec 12, 2019 · To understand the context of escalation of care, the research team decided that one of three key areas would have to be affected: Timely clinical action; Recognition of patient deterioration; Appropriate treatment and management
- Jody Ede, Emma Jeffs, Sarah Vollam, Peter Watkinson
- 2020
In 16 studies, the ability to recognise changes in the patient’s condition (soft signals), including skin colour/temperature, respiratory pattern, blood loss, personality change, patient complaint and fatigue, improved the ability to escalate patients.
- Jody Ede, Jody Ede, Tatjana Petrinic, Verity Westgate, Julie Darbyshire, Ruth Endacott, Ruth Endacot...
- 2021
- Eligibility criteria
- Inclusion
- Exclusion
- Patient and public involvement
- Grading of Recommendations Assessment, Development and Evaluation-CERQual
- THEME RESULTS
- research issue?
This evidence synthesis includes qualitative studies reporting primary data. No limits on publication date or country were applied. We included studies that explored how HF affect FTR and care escalation from staff, patients or relative’s perspective. Qualitative methods include (but are not limited to) ethnography, interviews, focus groups and HF ...
► Qualitative studies reporting primary data. ► Qualitative studies exploring how HF affect escalation of care of the in- hospital patient population. ► Studies employing qualitative data collection methods, for example, semistructured interviews, focus groups or observations. ► Observational studies relating to FTR or care escalation. ► Adult popu...
► Systematic or literature reviews. ► Correspondence and short communications. ► Simulation studies. ► Studies written in any language other than English. ► Studies in the emergency department and maternity. Eligible studies were entered into Covidence systematic review software (Veritas Health Innovation, Melbourne, Australia. Available at www. co...
Patient representative (TD) reviewed the original published protocol and aims of the review were discussed and deemed of patient importance.
Following the CASP assessment all studies were evaluated against the GRADE- CERQual criteria. A Summary of Qual-itative Findings table (table 4) is presented which promotes transparency in this synthesis’ findings and methods. The table includes documented rationale for grading judge-ments.
Themes presented are ranked from the highest to lowest confidence in synthesised findings. Data extracted mostly related to organisational and patient assessment factors affecting escalation of care. Organisational factors could be classified into Information Packaging and Communication Credibility, Flattened Hierarchy, Workload, Staffing and Situ-...
UnclearLow Low Low Low Low Low High Low Low rigorous? findings?
- 386KB
- Jody Ede, Jody Ede, Tatjana Petrinic, Verity Westgate, Julie Darbyshire, Ruth Endacott, Ruth Endacot...
- 11
- 2021
40.2 Review question: What are the appropriate escalation measures to manage surges in demand to facilitate optimal patient flow? For full details see review protocol in Appendix A.
Jun 27, 2024 · To our knowledge, this is the first study, to challenge the concept of escalation homogeneity and identify four escalation phenotypes including Output Focused Escalation, Informative Escalation, General Concern Escalation, and Spontaneous Interaction Escalation.
This review demonstrates that in clinical practice, nurses view EWS as a SMART communication tool for escalating care and securing a response; however, solely relying on the EWS tool alone when assessing the patient is ill-advised.
Apr 9, 2019 · This qualitative review will systematically appraise and synthesise the research evidence related to patients’, relatives’ and healthcare professionals’ experiences of deterioration and their perceptions of the barriers and facilitators towards implementing patient and family-initiated escalation of care schemes in acute adult hospital ...
