Critical analysis of recognition and response to deterioration in your health care system

Description:  Describe  and discuss the types of resources and systems in place to aid in the recognition and response to acute physiological deterioration and/or deterioration in mental state in your workplace and/or other parts of the health care system related to your specialty.

Discussions will include:

1. A brief description of your workplace (including what services are delivered and the general structure of the service (including support and referral chains) – please use an acute care nsw health hospital (Australia based)
2. A description of the systems and processes that are in place in your health service to promote patient safety and/or assist in recognition and response to deterioration in physiological or mental state (at least 3). Please use:
1. between the flags https://www.cec.health.nsw.gov.au/keep-patients-safe/between-the-flags
2. reach https://www.cec.health.nsw.gov.au/keep-patients-safe/reach
3. CERS https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2020_018.pdf
3. An analytical review of those systems and processes that are in place (at least 3) to promote patient safety and/ or to assist in recognition and response to deterioration in physiological or mental state in the healthcare system in which you work.

This analysis must include:

• A discussion using evidence-based literature or best practice guidelines to support the use of these systems or processes in the workplace.
• A review of how these systems are monitored, audited, improved.
• A discussion of any barriers to appropriate recognition and response to acute deterioration in your health system (system issues, human factors issues, issues with non-technical skills etc) and a suggestion of how these barriers could be addressed. You must discuss at least one of these barriers and your choice should be supported by evidence-based literature.
  

When  critically evaluating relevant recognition and response systems and processes in your workplace. Include at least:

• • How well do they meet the requirements for recognition and response systems?
  • What standardised communication tools are used?
  • How well are the systems implemented, monitored and reviewed?
  • Are they supported by good Governance?
  • How are staff and patients supported after an adverse event?
  • Do they support person-centred care?
  • Use evidence-based literature (EBL) to support your arguments.

When addressing barriers to the recognition and response to deterioration in the workplace

• • consider the potential risks to the safety of your patients (systems issues, human factors issues, issues due to non-technical skills etc)?  

• • Discuss improvements you might suggest to your Quality and Safety Manager to minimise these risks and improve patient safety in your hospital/health care service?
  • Use EBL to justify your workplace risks and suggestions for improvement.