A Practical Guide to Recognising and Responding to the ...

An RCN Accredited Conference

A Practical Guide to Recognising and Responding to the

Deteriorating Patient

Improving the reliability of patient observations
and benchmarking practice to ensure the safety of
acutely ill patients on the wards

Tuesday 23 March 2010 20 Cavendish Square, London

Topics include: PLUS Discussion:

G Changing practice and behaviour around identifying Should we be moving away from electronic
deteriorating patients clinical observations and returning to using
manual blood pressure machines?
G Measuring Patient Observations and Failure to Rescue as
nursing quality and patient safety indicators Chair and speakers include:

G Educating and empowering frontline staff to recognise Marie-Noelle Orzel OBE
and respond appropriately to the deteriorating patient
Deterioration Intervention Lead Patient Safety First
G Analysing the deteriorating patient care pathway to and Director of Nursing and Patient Care
improve early intervention and quality of care Royal Devon and Exeter Foundation Trust

G Developing a standard for observing vital signs and Kate Beaumont
recording early warnings
Head of NHS and Patient Engagement
G Implementing new tools to support safe and effective National Patient Safety Agency
handover and escalation of the deteriorating patient
Mandie Sunderland
G Developing a Trust-wide improvement strategy to reduce
Failure to Rescue and mortality rates Chief Nurse Heart of England NHS Foundation Trust

A Practical Guide to Recognising and Responding to the

Deteriorating Patient

Improving the reliability of patient observations
and benchmarking practice to ensure the safety of
acutely ill patients on the wards

Tuesday 23 March 2010
20 Cavendish Square, London

“Research shows that failure to rescue patients whose condition is

rapidly deteriorating is an area of significant unintended harm in
the healthcare environment. By reviewing a number of key areas of
practice in the multi-disciplinary team significant improvements in

rates of harm can be achieved.”

www.patientsafetyfirst.nhs.uk

Following the release of the NICE and NPSA guidance for recognising and responding
to acutely ill patients, Patient Safety First has introduced a system that addresses six
key areas relating to recognition and treatment of the deteriorating patient.
In her introduction as chair Marie-Noelle Orzel OBE Deterioration Intervention Lead
Patient Safety First and Director of Nursing and Patient Care Royal Devon and Exeter
Foundation Trust will present an overview of the Patient Safety First Deterioration
Intervention and tips for implementation. The conference will continue with a series of
presentations providing a practical guide to recognising and responding to the
deteriorating patient improving the reliability of patient observations and benchmarking
practice to ensure the safety of acutely ill patients on the wards.
Following the chairs introduction on Patient Safety First delegates will hear from Kate
Beaumont Head of NHS and Patient Engagement National Patient Safety Agency who
will discuss ‘Getting the Basics Right’: changing practice and behavior around
indentifying deteriorating patients.
The conference will include a discussion session around ‘Should we be moving away from
electronic clinical observations and returning to using manual blood pressure machines?’
which will be supported by presentations of different views.

Chair: Marie-Noelle Orzel OBE Deterioration Intervention Lead Patient Safety First and
Director of Nursing and Patient Care Royal Devon and Exeter Foundation Trust

10.00 Chair’s welcome and introduction
Reducing harm from deterioration: update following Patient Safety First

Marie-Noelle Orzel OBE I an update on the work and impact of Patient Safety First
Deterioration Intervention Lead I progress following the publication of the NICE and NPSA guidance for recognising and
Patient Safety First and Director of Nursing and Patient Care
Royal Devon and Exeter Foundation Trust responding to acutely ill patients
I an overview of the Patient Safety First Deterioration Intervention and tips implementation

10.35 Changing practice and behaviour around identifying deteriorating patients

Kate Beaumont I ‘Getting the Basics Right’: changing practice and behaviour around identifying
Head of NHS and Patient Engagement deteriorating patients
National Patient Safety Agency
I monitoring acute patients: assessing patients against an early warning system
I encouraging and engaging ward nurses in patient safety: Energising for Excellence

11.00 Measuring Patient Observations and Failure to Rescue as nursing quality and patient safety indicators

Mandie Sunderland I implementing a set of nursing metrics to measure the quality of care
Chief Nurse I benchmarking practice against a patient observation quality indicator
Heart of England NHS Foundation Trust I learning from the data and making improvements: the impact on Failure to Rescue rates

and patient outcome

11.25 Questions and answers, followed by coffee and exhibition at 11.35
12.00
FOCUS: ENSURING IMPROVED RECOGNITION AND RESPONSE OF THE DETERIORATING PATIENT

Educating and empowering frontline staff to recognise and respond appropriately to the deteriorating patient

John Lewandowski I developing competence through education and training to ensure ward staff are able to take
Clinical Educator Team Leader clinical observations, accurately interpret the results, and react appropriately
North Tees and Hartlepool NHS Foundation Trust
I assessing competence and improving the quality and safety of nursing care

I making improvements to support frontline staff to carry out reliable clinical observations:
what we have done in North Tees and Hartlepool

12.30 Analysing the deteriorating patient care pathway to improve early intervention and quality of care

Rhona Hayden I analysing the deteriorating patient care pathway: picking up unusual variation, patterns
Outreach Lead Nurse and avoidable mortality
Southend University Hospital NHS Foundation Trust
I making improvements to ensure early intervention

I the impact on quality of care, patient experience, and reducing cost

I tools, techniques and checklists that can support early recognition and response of the
deteriorating patient

13.00 Questions and answers, followed by lunch and exhibition at 13.10
14.00
Developing a standard for observing vital signs and recording early warnings

Jo Miller I developing and implementing a standard for observing vital signs and recording
Assistant Director of Nursing in Patient Safety and early warnings in practice: aiming for 100% compliance
Clinical Effectiveness
Royal United Hospital Bath NHS Trust I implement a Productive Ward audit tool to monitor and measure progress

I increasing the time spent with patients to make care safer, more reliable and
more personalised

SHOULD WE BE MOVING AWAY FROM ELECTRONIC CLINICAL OBSERVATIONS AND RETURNING TO USING MANUAL BLOOD PRESSURE MACHINES?
Short presentations followed-by discussion

14.30 Introducing the return of sphygmomanometer

Peter Murphy
Assistant Director of Nursing for Quality Improvement Salford Royal Foundation NHS Trust

14.40 Using traditional techniques alongside technology

Sally Bassett
Deputy Nurse Director East of England

14.50 Ensuring staff are trained to use automated technology

Alan Dobson
Adviser in Acute and Emergency Care Royal College of Nursing

15.00 Questions and answers / discussion followed by coffee at 15.20
15.45
Implementing new tools to support safe and effective handover and escalation of the deteriorating patient

Carol Tune I identifying and escalating the care of deteriorating hospital patients
Nurse Lead, Critical Care Outreach I innovative tools and techniques to improve ways of working
Service Shrewsbury and Telford Hospitals NHS Trust I improvements to the processes and outcomes of patient care

and Dr Peter Greengross
Medical Director
The Learning Clinic

16.15 Developing a Trust-wide improvement strategy to reduce Failure to Rescue and mortality rates

Paul Fish I recording and monitoring the ‘failure to rescue’ rate as an indication of the level of patient
Nurse Consultant Clinical Standards safety within your organisation
County Durham and Darlington NHS Foundation Trust
I reducing mortality from failure to rescue through rapid root cause analysis: our experience in
County Durham and Darlington

I ensuring deterioration of acutely ill patients is recognised at night

16.45 Questions and answers, Close

A Practical Guide to Recognising and Responding to the Conference Registration

Deteriorating Patient All of our brochures are made from
paper manufactured from sustainable
Tuesday 23 March 2010 20 Cavendish Square, London forests. Once you have finished with
this brochure please recycle the paper.

em

How to book Fax the booking form to Through our website at: Post this form to Healthcare Events
020 8547 2300 www.healthcare-events.co.uk 2 Acre Road, Kingston, Surrey KT2 6EF

Your details (Please complete a new form for each delegate. Photocopies are acceptable) Payment

Dr Mr Mrs Ms (Please circle) By cheque A cheque for is enclosed
First name
Surname Please make cheques payable to: Healthcare Events Ltd. Cheques can be £ or Euros (1 Euro = £0.90)
Job Title
Department By invoice Please send an invoice to
Organisation
Address Name (IN BLOCK CAPITALS)

Postcode Organisation
Telephone
Fax Address
Email
Postcode
Purchase order number if applicable

By BACS

For payments in £: Sort Code 16-22-24 Account No. 10111198
For payments in Euros: Sort Code 16-10-90 Account No. 10048291

I Please send your BACS remittance form as confirmation of payment

I Your BACS reference

Please write your address clearly as confirmation will be sent by e-mail. By credit card Please debit my Visa/Mastercard/Switch All sections must
If you prefer confirmation by post please tick this box. be completed
Please also ensure you complete your full postal address details for our records. Cardholder’s name

Please specify any special dietary or access requirements Card No.

This form must be signed by the delegate or an authorised person Valid from Expiry date
before we can accept the booking
Issue No. (Switch only) (This is the last three digits of the number
(By signing this form, you are accepting the terms and conditions below) Card security code printed on the back of your card)
Signature
Name
Signature Card billing address

Date For office use only

Conference handbook I cannot attend the conference but would like a copy of the conference handbook which includes speaker slides @ £69 a copy.

The handbook will be sent out a week after the conference, please fill in the ‘Your details’ section above for delivery.
Handbooks ordered up until two months after the conference will be supplied as a hardcopy in an A4 ring binder, those ordered after this time will be posted as a PDF document on CD.

Venue Group rates Confirmation of booking

20 Cavendish Square, London, W1G 0RN. A map of the A discount of 15% is available to all but the first All bookings will be confirmed by email, unless
venue will be sent with confirmation of your booking. delegate from the same organisation, booked at stated otherwise. Please contact us if you have not
the same time, for the same conference. received confirmation 7–10 days after submitting
Date your booking.
Terms and conditions
Tuesday 23 March 2010. Exhibition
A refund, less a 20% administration fee,
Conference fee will be made if cancellations are received, If you are interested in exhibiting at this event,
in writing, at least 4 weeks before the conference. please contact Nikki Finley on 020 8541 1399,
£365 + VAT (£428.88) for NHS, social care, private We regret that any cancellation after this time or email [email protected]
healthcare organisations and universities. cannot be refunded, and that refunds for failure to
£300 + VAT (£352.50) for voluntary sector/charities. attend the conference cannot be made, but Credits
£495 + VAT (£581.63) for commercial organisations. substitute delegates are welcome at any time.
Healthcare Events nursing conferences are all
The fee includes lunch, refreshments and a copy of the Accommodation accredited by the RCN Accreditation Unit.
conference handbook. VAT at 17.5%. RCN accredited events can enhance your CPD
On confirmation of your booking you will receive portfolio and contribute towards your continuing
details of accommodation. professional development.

For more information contact Healthcare Events on 020 8541 1399 or email [email protected]

The information you provide will be held on the Healthcare Events’ database We occasionally release your details to companies sponsoring Healthcare Events reserve the right to make changes
and may be used to update you with details of other events that we organise. or exhibiting at our events. If you DO NOT wish to receive to speakers and programmes without prior notice.
If you DO NOT wish to receive this information, please tick this box information from these companies, please tick this box © Healthcare Events Ltd 2010.

For a full list of our conferences, please visit www.healthcare-events.co.uk