Translation of evidence into policy to improve clinical practice: the development of an emergency department rapid response system.

Munroe, B; Curtis, K; Balzer, S; Roysten, K; Fetchet, W; Tucker, S; Pratt, W; Morris, R; Fry, M; Considine, J

Translation of evidence into policy to improve clinical practice: the development of an emergency department rapid response system.

Munroe, B Curtis, K Balzer, S Roysten, K Fetchet, W Tucker, S Pratt, W Morris, R Fry, M

Considine, J

Permalink

Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Australasian Emergency Care, 2020, 24, (3), pp. 197-209
Issue Date:: 2020-09-17

Closed Access

	Filename	Description	Size
	1-s2.0-S2588994X20300786-main.pdf		1.62 MB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Munroe, B
dc.contributor.author	Curtis, K
dc.contributor.author	Balzer, S
dc.contributor.author	Roysten, K
dc.contributor.author	Fetchet, W
dc.contributor.author	Tucker, S
dc.contributor.author	Pratt, W
dc.contributor.author	Morris, R
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Considine, J
dc.date.accessioned	2021-11-08T05:35:36Z
dc.date.available	2020-08-18
dc.date.available	2021-11-08T05:35:36Z
dc.date.issued	2020-09-17
dc.identifier.citation	Australasian Emergency Care, 2020, 24, (3), pp. 197-209
dc.identifier.issn	2588-994X
dc.identifier.issn	2588-994X
dc.identifier.uri	http://hdl.handle.net/10453/151389
dc.description.abstract	Background Undetected clinical deterioration is a major cause of high mortality events in Emergency Department (ED) patients. Yet, there is no known model to guide the recognition and response to clinical deterioration in the ED, integrating internal and external resources. Methods An integrative review was firstly conducted to identify the critical components of recognising and responding to clinical deterioration in the ED. Components identified from the review were analysed by clinical experts and informed the development of an ED Clinical Emergency Response System (EDCERS). Results Twenty four eligible studies were included in the review. Eight core components were identified: 1) vital sign monitoring; 2) track and trigger system; 3) communication plan; 4) response time; 5) emergency nurse response; 6) emergency physician response; 7) critical care team response; and 8) specialty team response. These components informed the development of the EDCERS protocol, integrating responses from staff internal and external to the ED. Conclusions EDCERS was based on the best available evidence and considered the cultural context of care. Future research is needed to determine the useability and impact of EDCERS on patient and health outcomes.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Australasian Emergency Care
dc.relation.isbasedon	10.1016/j.auec.2020.08.003
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.mesh	Clinical Deterioration
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Humans
dc.subject.mesh	Policy
dc.title	Translation of evidence into policy to improve clinical practice: the development of an emergency department rapid response system.
dc.type	Journal Article
utslib.citation.volume	24
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2021-11-08T05:35:34Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	24
utslib.citation.issue	3

Abstract:

Background Undetected clinical deterioration is a major cause of high mortality events in Emergency Department (ED) patients. Yet, there is no known model to guide the recognition and response to clinical deterioration in the ED, integrating internal and external resources. Methods An integrative review was firstly conducted to identify the critical components of recognising and responding to clinical deterioration in the ED. Components identified from the review were analysed by clinical experts and informed the development of an ED Clinical Emergency Response System (EDCERS). Results Twenty four eligible studies were included in the review. Eight core components were identified: 1) vital sign monitoring; 2) track and trigger system; 3) communication plan; 4) response time; 5) emergency nurse response; 6) emergency physician response; 7) critical care team response; and 8) specialty team response. These components informed the development of the EDCERS protocol, integrating responses from staff internal and external to the ED. Conclusions EDCERS was based on the best available evidence and considered the cultural context of care. Future research is needed to determine the useability and impact of EDCERS on patient and health outcomes.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151389