How might the data obtained pre and post the EARLY SAVE program be used by the hospital when reporting against National Safety and Quality Health Service (NSQHS). Should family members be allowed to be present during the resuscitation of their loved one in the acute care setting? Why, or why not? Please ensure that you refer to the highest possible levels of research evidence available to justify your answer.
Standard 9: Recognising and responding to clinical deterioration in acute health careYou are working as a registered nurse in a large metropolitan hospital. The hospital has introduced
the ‘EARLY SAVE’ program to reflect best practice in early recognition and response to clinical
deterioration in addition to the existing Code Blue process for severe/life threatening medical
emergencies. The program includes education for clinical staff, a more formalised Medical
Emergency Team (MET) process, and the introduction of an Observation and Escalation Chart.
Figure 1 presents the patient outcomes following a Code Blue or MET call from data collected before
the introduction of the program (Pre EARLY SAVE) and data collected over the same length of time
post the introduction of the program (Post EARLY SAVE).
There were 160 MET calls in the pre period, and 360 in the post period. In the pre period, the
reasons for calling the MET included seizure/fitting (20%); worsening respiratory function (20%);
acute respiratory distress (25%); suspected cardiac pain (20%); and alteration in vital signs indicating
clinical deterioration (15%). In the post period, the reasons for MET calls included worsening
respiratory function (30%); acute respiratory distress (10%); a seizure or fitting (20%); suspected
cardiac pain (10%); and alteration in vital signs indicating clinical deterioration (30%).
There were 140 Code Blue calls pre EARLY SAVE and 60 post, mainly for cardiac or respiratory arrest.
1. Based on the data presented, do you think the EARLY SAVE program has been effective in
improving early recognition and response to clinical deterioration in your hospital? Why/
Transferred to ICU Transferred to HDU Remained on ward
Figure 1: Patient outcomes following Code Blue and
MET calls (as a percentage)
Pre EARLY SAVE program Post EARLY SAVE program
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