Deterioration of a patient can occur at any time in the patient’s journey and eventually they may need critical care intervention or worse. Hear about NHS Ayrshire & Arran’s rescue system and how their model for improvement was used to design, implement and sustain reliable care processes that facilitated a reduction in mortality rates.

3. The Burning Platform

4. The “Burning Platform”

5. “ NHS hospital scandal which left 1,200 dead 400 of which could not be explained. This could happen again, warn campaigners ” Daily Mail 19 March 2009

8. Back to Basics An approach to improving care delivery to support the rescue of acutely unwell patients Susan Hannah Clinical Improvement Lead

9. What We Needed to Improve Early recognition of deteriorating patient Regularity of observations according to clinical concern Complete and accurate MEWS and action plan recording Nursing staff escalation where expected Appropriate response of medical staff to MEWS Consistent approach to documentation of decision making

10. Clinical Improvement in Acute Ward Settings Delivering education at the point of care Accurate patient observation and MEWS; identifying and responding to patient deterioration Escalation of patients effectively through SBAR communication at all times Awareness of patient safety issues through Safety Brief ‘huddles’

15. Communicating Performance

16. Improving HSMR Improving ward MEWS and escalation of patient concern contributed to reduced numbers of unplanned admissions to HDU/ICU

18. Eddie Docherty Nurse Consultant Managing the acutely unwell patient The development of an Emergency Response Team : a practical approach

27. Why ANP’s?

28. Competence Framework

29. Log Book and Case note review