Emergency Room Safer Transfer of Patients (ER-STOP): a quality improvement initiative at a community-based hospital to improve the safety of emergency room patient handovers.

ABSTRACT:

Objectives

Ensure early identification and timely management of patient deterioration as essential components of safe effective healthcare. Prompted by analyses of incident reports and deterioration events, a multicomponent organisational rescue from danger system was redesigned to decrease unexpected inpatient deterioration.

Design

Quality improvement before-after unblinded trial.

Setting

430-bed Canadian community teaching hospital.

Participants

All admitted adult medical-surgical patients in a before-after 12-month interventional study.

Intervention

Locally validated checklist (Modified Early Warning Score+urinary catheter in situ+nurse concern) with an intentional pause and explicit management options was deployed as a modification of an existing war

SUBMITTER: Norman S 

PROVIDER: S-EPMC6303585 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature