Unreported clinical deterioration in emergency department patients: A point prevalence study

Optimising implementation of a patient‐assessment framework for emergency nurses: A mixed‐method study

“…The incidence of preventable adverse errors in ED is high, ranging from 36%–71% (Stang, Wingert, Hartling, & Plint, ). Nursing assessment in the ED is a recognised area of concern, due to the high frequency of preventable adverse events that occur with suboptimal nursing assessment (NSW Emergency Care Institute ), poor clinical management (Stang et al., ) and failure to identify and respond to clinical deterioration (Scott, Considine, & Botti, ).…”

“…Earlier recognition of and intervention for high‐risk or already‐compromised patients has been demonstrated to save lives and improve efficiency of care (Konrad et al., ). However, clinical deterioration has been reported to occur undetected by emergency clinicians in as many as one in seven patients in Australian hospital EDs (Scott et al., ). Failure to recognise and respond to clinical deterioration in a timely manner increases the incidence of high‐mortality adverse events such as cardiac arrest and unplanned admissions to the intensive care unit (Dichtwald, Matot, & Einav, ; Haller et al., ; Hogan et al., ).…”

Implementation evaluation and refinement of an intervention to improve blunt chest injury management—A mixed‐methods study

“…Nursing staff are a more stable workforce in the ED and possess a broad knowledge base and range of assessment skills to competently assess and care for patients of different ages (Munroe, Curtis, Murphy, Strachan, & Buckley, ). Patients who present to the ED are frequently assessed and receive treatment commenced by emergency nurses before being seen by a medical officer (Scott, Considine, & Botti, ). Despite this, some early career nurses lack confidence in their clinical practice and ability to make decisions (Baumberger‐Henry, ), and, with nursing workforce shortages, there is an increasing number of new graduate nurses are seeking and gaining direct entry to ED (Baumberger‐Henry, ; Glynn & Silva, ).…”

Current practices related to family presence during acute deterioration in adult emergency department patients

“…Between 1Á5-15% of emergency department (ED) patients experience clinical deterioration that fulfils ED-specific or hospitalwide RRT activation criteria at some stage during their ED care (Considine et al 2012, Hosking et al 2014, Mitchell Scott et al 2015. Recent research has identified that ED clinicians have a predominantly positive attitude towards including family during a patient's episode of acute deterioration (Youngson et al 2016).…”