Responding to patient deterioration: a medical records analysis
Objective: This paper reports the medical record analysis findings to identify nurses and junior doctors risk assessment and response to the incidence of deteriorating patient in general ward. Methods: A medical records analysis was conducted at a medical ward in one Malaysian hospital. Patients t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kulliyyah of Nursing, International Islamic University Malaysia,
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/1/Responding%20%20to%20%20Patient%20%20Deterioration%20%20A%20%20Medical%20Records%20Analysis%20_IJCS%2031.7.18.pdf |
| Summary: | Objective: This paper reports the medical record analysis findings to identify nurses and junior doctors risk
assessment and response to the incidence of deteriorating patient in general ward. Methods: A medical
records analysis was conducted at a medical ward in one Malaysian hospital. Patients that were admitted
for more than 24 hours and scored at least 3 points on the Modified Early Warning Sign (MEWS) assessment
with their last 24 hours parameters calculated and nurses and junior doctor’s responses were analysed
retrospectively. Results: Out of 200 records obtained, only 10 patients’ medical records met the study
inclusion criteria. Three main themes were evident in the study, namely ‘track and trigger’, ‘hierarchical
intervening’ and ‘attitude’. Conclusion: This study demonstrates that some nurses and junior doctors
experience difficulties in effectively responding to patient deterioration which often occurs at a critical
juncture. This study highlights factors which need to be addressed to increase patient safety and improve
medical outcomes during hospitalization. |
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