Use of early warning scores in an obstetric high dependency unit – impact on quality of care in severe pre-eclampsia

2012 ◽  
Vol 97 (Suppl 1) ◽  
pp. A50.2-A50
Author(s):  
D Hayes Ryan ◽  
A Hill ◽  
C Walsh ◽  
A Fergus ◽  
B Byrne
Keyword(s):  
Quality Of Care ◽  
Early Warning ◽  
High Dependency Unit ◽  
High Dependency ◽  
Early Warning Scores

scholarly journals 182 Improving Handovers from A Neurosurgical High Dependency Unit to Ward Teams

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Faderani ◽  
A Mohamed ◽  
P Stewart
Keyword(s):  
Quality Of Care ◽  
Continuity Of Care ◽  
Multidisciplinary Team ◽  
High Dependency Unit ◽  
Effective Management ◽  
High Dependency ◽  
Raising Awareness ◽  
Delayed Discharges

Abstract Introduction A good handover is fundamental in providing continuity of care within a multidisciplinary team, allowing for safe and effective management of patients. Method Handovers between the neurosurgical high dependency unit and the ward team were prospectively evaluated as patients were stepped down over a 6-week period. The handover rate and consequences of poor handovers (missed investigations, referrals, or delayed discharges) were documented. After 6-weeks, handover proforma was introduced and the rates were recalculated. Results In the initial 6-week period, 36 patients were transferred, with only 2(5.6%) appropriately handed-over. Consequently, 9(26%) patients had delayed scans, 5(15%) missed referrals, and 24(71%) delayed discharges. In the 6-week period following the introduction of the proforma, a total of 28 patients were transferred, with 19(67.8%) documented handovers. Consequently, 1(3.5%) patient had a scan delay, 0 missed referrals and only 2(7%) patients had delayed discharges. Conclusions By raising awareness of handovers and introducing a proforma, we improved documented handovers by 62.3% whilst reducing the rate of missed investigations, referrals, and delayed discharges by over 90%. This project highlights how small, simple, and easy to enforce changes can lead to significant improvements in the quality of care provided to patients.

scholarly journals 248 Improving Handovers from A Neurosurgical High Dependency Unit to Ward Teams

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Faderani ◽  
A Mohamed ◽  
P Stewart
Keyword(s):  
Quality Of Care ◽  
Continuity Of Care ◽  
Multidisciplinary Team ◽  
High Dependency Unit ◽  
Effective Management ◽  
High Dependency ◽  
Raising Awareness ◽  
Delayed Discharges

Abstract Introduction A good handover is fundamental in providing continuity of care within a multidisciplinary team, allowing for safe and effective management of patients. Method Handovers between the neurosurgical high dependency unit and the ward team were prospectively evaluated as patients were stepped down over a 6-week period. The handover rate and consequences of poor handovers (missed investigations, referrals, or delayed discharges) were documented. After 6-weeks, handover proforma was introduced and the rates were recalculated. Results In the initial 6-week period, 36 patients were transferred, with only 2(5.6%) appropriately handed-over. Consequently, 9(26%) patients had delayed scans, 5(15%) missed referrals, and 24(71%) delayed discharges. In the 6-week period following the introduction of the proforma, a total of 28 patients were transferred, with 19(67.8%) documented handovers. Consequently, 1(3.5%) patient had a scan delay, 0 missed referrals and only 2(7%) patients had delayed discharges. Conclusions By raising awareness of handovers and introducing a proforma, we improved documented handovers by 62.3% whilst reducing the rate of missed investigations, referrals, and delayed discharges by over 90%. This project highlights how small, simple, and easy to enforce changes can lead to significant improvements in the quality of care provided to patients.

High dependency unit admissions during the first year of a national obstetric early warning system

2015 ◽  
Vol 133 (1) ◽  
pp. 121-122 ◽  
Author(s):  
Patrick J. Maguire ◽  
Karen A. Power ◽  
Niamh Daly ◽  
Maria Farren ◽  
Aoife McKeating ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
First Year ◽  
High Dependency Unit ◽  
High Dependency

Prognostic value of Modified Early Warning Score (MEWS) in patients admitted to a high dependency unit

Resuscitation ◽  
2012 ◽  
Vol 83 ◽  
pp. e33
Author(s):  
Srdjan Stefanovic ◽  
Dusanka Obradovic ◽  
Biljana Joves-Sevic ◽  
Marija Vukoja
Keyword(s):  
Early Warning ◽  
Prognostic Value ◽  
Early Warning Score ◽  
High Dependency Unit ◽  
High Dependency

scholarly journals Use of a modified early warning system to predict outcome in patients admitted to a high dependency unit

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 2) ◽  
pp. P479 ◽  
Author(s):  
C Carle ◽  
C Pritchard ◽  
S Northey ◽  
J Paddle
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
High Dependency Unit ◽  
High Dependency

scholarly journals ‘State of the Nation’ – The Society for Acute Medicine’s Benchmarking Audit 2013 (SAMBA ’13)

2013 ◽  
Vol 12 (4) ◽  
pp. 214-219
Author(s):  
Ivan Le Jeune ◽  
◽  
Charlotte Masterton-Smith ◽  
Christian P Subbe ◽  
David Ward ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Standards ◽  
Improve Quality ◽  
Acute Medicine ◽  
Opportunities For Learning ◽  
Early Warning Scores ◽  
The Difference ◽  
Better Than

Background: Benchmarking is important to improve quality of care. Aim: To audit the performance of Acute Medical Units (AMUs) against the clinical quality indicators published by the Society for Acute Medicine (SAM). Methods: 24-hour data collection on the 20th of June 2013 with follow-up data at 72 hours. Results: 43 units submitted data on 1425 patients. 76% of patients had early warning scores recorded within 30 minutes of admission, 95% of patients had been seen by a competent decision maker within four hours. 79% of patients were seen by a consultant physicians within the appropriate period of time. Conclusion: The difference in compliance with quality standards between UK units opens opportunities for learning. The reasons why some units perform better than others require further investigation.

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