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...

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Main Authors:	Mohamed Ludin, Salizar, Ruslan, Rusila
Format:	Article
Language:	English
Published:	Kulliyyah of Nursing, International Islamic University Malaysia, 2018
Subjects:	RT Nursing RT82 Nursing As A Profession
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

id	iium-66249
recordtype	eprints
spelling	iium-662492018-10-02T07:52:41Z http://irep.iium.edu.my/66249/ Responding to patient deterioration: a medical records analysis Mohamed Ludin, Salizar Ruslan, Rusila RT Nursing RT82 Nursing As A Profession 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. Kulliyyah of Nursing, International Islamic University Malaysia, 2018-07-31 Article PeerReviewed application/pdf en 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 Mohamed Ludin, Salizar and Ruslan, Rusila (2018) Responding to patient deterioration: a medical records analysis. International Journal of Care Scholars, 1 (2). pp. 22-29. ISSN 2600-898X http://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/73
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RT Nursing RT82 Nursing As A Profession
spellingShingle	RT Nursing RT82 Nursing As A Profession Mohamed Ludin, Salizar Ruslan, Rusila Responding to patient deterioration: a medical records analysis
description	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.
format	Article
author	Mohamed Ludin, Salizar Ruslan, Rusila
author_facet	Mohamed Ludin, Salizar Ruslan, Rusila
author_sort	Mohamed Ludin, Salizar
title	Responding to patient deterioration: a medical records analysis
title_short	Responding to patient deterioration: a medical records analysis
title_full	Responding to patient deterioration: a medical records analysis
title_fullStr	Responding to patient deterioration: a medical records analysis
title_full_unstemmed	Responding to patient deterioration: a medical records analysis
title_sort	responding to patient deterioration: a medical records analysis
publisher	Kulliyyah of Nursing, International Islamic University Malaysia,
publishDate	2018
url	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
first_indexed	2023-09-18T21:34:02Z
last_indexed	2023-09-18T21:34:02Z
_version_	1777412700830171136

Responding to patient deterioration: a medical records analysis

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