Escalation of care for deteriorating ward patients Other
Conditions
Interventions
Phase 1: Two groups of participants are recruited and consented in this phase of data collection. The first participant group are those medical staff that are directly observed and shadowed during obs
Sponsors
Oxford University Hospitals NHS Trust
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Phase 1: Staff participants should be over the age of 18 years and be willing to give informed consent. 2. Phase 2: Retrospective Care Records Review (RCRR): 2.1. Record reviews survivors: 2.1.1. Patients have had an EWS 7 or greater 2.1.2. Have not been admitted to ICU 2.1.3. Survived their hospital admission (discharged home or to another care facility) 2.1.4. Have COVID-19 and non-COVID-19 infections 2.2. Record reviews deceased: 2.2.1. Patients have triggered a 7 or greater NEWS score 2.2.2. Have been admitted to ICU and died 2.2.3. Have COVID-19 and non-COVID-19 infections 3. Phase 3: Staff Applied Cognitive Task Analysis (ACTA) interviews: Any staff member who has experience of escalating or receiving a care escalation, and has 4 years or greater clinical experience
Exclusion criteria
Exclusion criteria: 1. Phase 1: Events that do not meet the escalation of care definition 2. Phase 2: Patients not for cardiopulmonary resuscitation or receiving palliative care 3. Phase 3: Participant not able to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 2. Framework development of care escalation success factors to inform refinements to the escalation process, resulting in improved deteriorating patient outcomes developed from observations, care record reviews, and staff interviews | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Identification of success factors to generate a report detailing how care escalation success factors can be applied more effectively and an analysis report describing patients who are successfully escalated and care escalations in both COVID-19 and non-COVID-19 patients through observations, care record reviews, and staff interviews detailing successful care escalation in ward patients | — |
Countries
England, United Kingdom
Outcome results
None listed