Deteriorating Patients & Rapid Response Systems Award
A failure to speedily spot the sometimes-subtle signs of a patient’s deteriorating condition is a major cause of avoidable harm in healthcare. Diagnosing potentially deadly issues such as sepsis or acute kidney injury – or speedily recognising the predictors of cardiopulmonary arrest or acute heart failure – involves consideration of a range of information. For harm to be avoided, it is also necessary to have clear processes in place to alert the right clinician to the issue at the right time.
The award will recognise individuals or teams of clinicians such as rapid response / medical emergency / critical care outreach teams, resuscitation or similar services that have demonstrably improved care processes and outcomes of deteriorating patients or patients at-risk of deterioration. This could include identification and care of acutely ill patients who are also at the end of life.
Entries are accepted from across the NHS for projects or initiatives from groups who have looked at deterioration in a specific cohort of patients – such as frail older people, those who have been admitted in an emergency, those in intensive care – or who have looked at deterioration across the broader patient population.
Provide a description of the context of the project or initiative, what targets were set and how were they decided upon. Explain how the project drew on existing best practice in the recognition and rapid prevention of patient deterioration.
Evidence safety has improved as a direct result of the initiative. This should be quantitative and can cover any aspect of patient deterioration.
Evidence the patient safety work has directly contributed to the delivery of consistently high-quality care. This should have a quantitative aspect but can also include qualitative data such as patient and carer feedback.
Initiatives that have embedded and spread to other departments, settings or organisations. Alternatively, clear evidence the work is potentially replicable and scalable.
Clear evidence the initiative has improved value. Where possible, this should include evidence of improved financial value as well as value to patients through improved quality.
Clear evidence all relevant parties were fully engaged in the initiative. This should include clinical and non-clinical staff as well as patients and carers where appropriate.
A culture in which staff feel able to raise concerns and make suggestions for improvements