Deteriorating patients

patient deterioration.pngAcutely unwell patients can find their conditions suddenly worsening. Many of these instances appear to be sudden, but more often than not it is a gradual deterioration of health that has not been recognised at an early stage. To detect deterioration earlier, it's crucial for health professionals to understand why they occur in the first instance.
Sepsis and AKI
Amongst the main causes of deteriorating patients are Sepsis and Acute Kidney Injury (AKI). The symptoms of both conditions are not always immediately obvious and therefore can go unnoticed; all  the while a patient's condition is declining which leads to the individual needing more aggressive treatments, having longer recovery times and risking poorer outcomes.
Earlier detection of deterioration, across both acute and community care settings, is essential and will improve the outcomes, effectiveness and experience of care for patients and carers in Kent, Surrey and Sussex.
We know that early recognition of clinically deteriorating patients reduces mortality and morbidity and prevents unnecessary procedures, treatments and prolonged hospital stays.

Deteriorating patient workstream
KSS AHSN has recently merged the AKI and Sepsis workstreams into a Deteriorating Patient workstream, which supports one of the new national Patient Safety Collaborative priorities. We will focus on deterioration across all care settings with the aim of improving recognition, escalation and management of the patient. At the same time we will strive to improve communication and safety netting to ensure increased safety across the healthcare system. 
We recently launched our Breakthrough Series and as such have formed a Clinical Reference Group to help us deliver the programme.

Collaborative events

  • 25 April 2019
  • 9 July 2019
  • 16 October 2019

General resources

News 2 Respiratory Variance SOP

Resources from event on October 18 2018

Main presentation

Recognition of the acutely ill adult in the community

Resources from event on 27 September 2017

Main presentation

BSUH AKI storyboard

BSUH storyboard

EKHUFT storyboard

First Community storyboard

SASH storyboard

Western storyboard

Resources from event on 7 June 2017

Sepsis Case Study 2017 - BSUH
Pre-Hospital Screening - WSHFT
Improving recognition & management of deteriorating patient - SASH
Value of Social media - EKHUFT
Dt. Patient Recognising Sepsis - SCFT
What the ASHN has to offer

For more information please contact our Programme Manager, Jo Wookey