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  1. www.ncbi.nlm.nih.gov › pmc › articlesDisclosures

    Aug 23, 2019 · Care escalation for patients at risk of deterioration requires that care team members are able to effectively communicate patient care concerns to more senior team members. However, multiple factors inhibit residents from escalating their concerns, which contributes to treatment delays and sentinel events.

  2. Dec 12, 2019 · Escalation of care is the recognition of deterioration and communication to a senior medical or nursing colleague, resulting in a deterioration management plan. 21 Barriers and facilitators to escalation can be contextual and involve organizational factors such as communication, clinical culture, and decision-making. 2, 10 EWS is cited by clinical staff as a way to facilitate deterioration ...

    • Jody Ede, Emma Jeffs, Sarah Vollam, Peter Watkinson
    • 2020
  3. Pressure in the acute hospital is not unusual but standards have been set to ensure that patients have an expectation of prompt care and review. In the acute setting the most obvious example has been the A&E 4 hour waiting target standard measure that anticipates that patients will be seen, investigated and treated to a point where they can be discharged to the community or admitted to an in ...

    • National Guideline Centre (UK)
    • 2018/03
  4. De-escalation is a first-line response to potential violence and aggression in health care settings. 1 The Centers for Disease Control and Prevention (CDC) has noted a rise in workplace violence, with the greatest increases of violence occurring against nurses and nursing assistants. 2 A three-year study in the American Journal of Nursing noted that 25 percent of nurses reported being ...

  5. Failure to rescue is defined as patient mortality following complications1 and escalation of care is a staged process where patients are identified as ‘deteriorating’, and that deterioration is then communicated followed by senior review and medical intervention where necessary.4 We will include any qualitative study which explores the perspective of patients or clinical staff (adults or ...

    • Jody Ede, Verity Westgate, Tatjana Petrinic, Julie Darbyshire, Peter J Watkinson
    • 2019
  6. 4. Check your feelings. Being able to de-escalate a situation and rise above a patient's rudeness or other toxic behavior requires tapping into your inner strength, emotional intelligence, and ...

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  8. patient’s family members. Statistically, higher rates of health care violence are reported to occur in the emergency department (ED), geriatric and psychiatric settings. 2. The purpose of this Quick Safety is to present some de-escalation models1 and interventions for managing aggressive and agitated patients in the ED and inpatient settings.

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