Escalation-related decision making in acute deterioration: a retrospective case note review.

ABSTRACT: AIM:To describe how decision making inter-relates with the sequence of events in individuals who die during admission and identify situations where formal treatment escalation plans (TEPs) may have utility. DESIGN AND METHODS:A retrospective case note review using stratified sampling. Two data analysis methods were applied concurrently: directed content analysis and care management process mapping via annotated timelines for each case. Analysis was followed by expert clinician review (n=7), contributing to data interpretation. SAMPLE:45 cases, age range 38-96 years, 23 females and 22 males. Length of admission ranged from <24 hours to 97 days. RESULTS:Process mapping led to a typology of care management, encompassing four trajectories: early de-escalation due to catastrophic event; treatme

SUBMITTER: Campling N 

PROVIDER: S-EPMC6104759 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature