Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study.

ABSTRACT:

Background

The management of acute deterioration following surgery remains highly variable. Patients and families can play an important role in identifying early signs of deterioration but effective contribution to escalation of care can be practically difficult to achieve. This paper reports the enablers and barriers to the implementation of patient-led escalation systems found during a process evaluation of a quality improvement programme Rescue for Emergency Surgery Patients Observed to uNdergo acute Deterioration (RESPOND).

Methods

The research used ethnographic methods, including over 100 hours of observations on surgical units in three English hospitals in order to understand the everyday context of care. Observations focused on the coordination of activities such as h

SUBMITTER: Sutton E 

PROVIDER: S-EPMC11672010 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature