Deteriorating Patient Case Studies

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As part of a larger project aimed at improving safety through timely recognition of deterioration, this study conducted a formative evaluation to assess perceptions of the implementation of continuous monitoring devices on general wards.

Formative evaluation in the early stages of technology implementation projects has been advocated as means to inform feasibility, provide opportunities for iterative assessments of intervention viability, guide the development and refinement of interventions, and characterize success factors in the quest to optimize patient safety [ 15 , 16 ].

Structured in-depth interviews (Table 3 ) aimed at gauging perceptions regarding benefits, concerns and enablers in respect of the introduction of continuous monitoring devices were conducted with eight nurses and two doctors.

The interviews were digitally recorded and transcribed.

Continuous monitoring technologies are a more proactive approach to the early detection of patient deterioration and have been reported as potentially enhancing early identification of deteriorating patients [ 14 ].

There is limited research, however, that assesses clinical staff perceptions regarding patient monitoring and the potential impact of continuous monitoring on practices.

These activities were conducted between January and August 2014 on two wards (respiratory and neurosurgery) of a large teaching hospital in Sydney, Australia.

There were 40 respiratory ward and 41 neurosurgery ward nurses (total 81 nurses).

The aim of this study was to investigate clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards.

The study objectives were to We undertook a multi-method study comprising structured surveys, in-depth interviews and log books (Table 1 ).


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