Recognition and Management of the Deteriorating Patient Project RMDP

1
Recognition and Management of the Deteriorating
PatientProject (RMDP)
2
Project Overview

• Draft implementation plan developed ?
• Steering committee and expert group ?
• Recruitment of participating sites and teams
• Diagnostic work
• Solution design and testing tailored approach
• Capacity building and system redesign approach
  for engagement and sustainability
• Report and recommendations for further statewide
  action
• Rapid action

3
Background

• RCA and IIMS data suggests RMDP an issue
• SSSL Implementing Rapid Response Systems (RRS)
• GMCT Clinical Emergency Response Systems
  Guidelines (CERS)
• CEC workshop 29 November 2006
• Communication at Handover
• NPSA report November 2007

4
Diagnostic phase

• Literature review ?
• NPSA report
• Focus groups and semi structured interviews
• Audits observation and documentation
• Process mapping to highlight areas of
  vulnerability in process
• Nurses and doctors (senior and junior)
• Admin (JMO managers and nursing management)
• Communication strategy and key stakeholder
  engagement process

5
Linkages with other work

• Avoid duplication!!
• CSRP
• CLP
• Current projects GWAHS, ACT, D.A.N.G.E.R.S
• NPSA
• WHO Patient Safety Solutions

6
Measurement

• Qualitative measures
• Audit improvement in documentation
• Process measures of implementation
• Observational audits of process
• Outcome measures - ?AEs, ?ADEs, unplanned
  transfer to ICU, unplanned returns to OT, death
  with no NFR order, treatment delays

7
Timelines

• Dec 07
• Recruitment of teams 5 Dec 07
• Expert group convened
• Audit tool development
• Resource kit development
• Jan 08
• Focus groups etc
• Intensive work with teams at local sites
• Steering committee meeting

8
Next steps?

• Agreement with approach
• TOR
• Issues and risks
• Communication strategy including logo and
  branding