The Commission and the NSW Clinical Excellence Commission held a national workshop on the deteriorating patient in Sydney on 10 November 2009. The purpose of the workshop was to showcase current approaches and practical solutions to the problem of properly recognising and responding to patients who deteriorate in hospital. The workshop was attended by over 270 delegates from across Australia and New Zealand.

The workshop program (PDF 246 KB) and presentations are now available for download.

Presentations

Morning Plenary Session

Chris Baggoley, Australian Commission on Safety and Quality in Health Care

Welcome and Opening Presentation (MP3 1,165 KB)

Ken Hillman, Simpson Centre for Health Services Research, affiliated with The Australian Institute of Health Innovation, UNSW

Overview of Rapid Response Systems (PDF 645 KB)

Overview of Rapid Response Systems (MP3 6900 KB)

Nicola Dunbar, Program Manager, Australian Commission on Safety and Quality in Health Care

Recognising and responding to clinical deterioration: A national approach to safer care (PDF 60 KB)

Recognising and responding to clinical deterioration: A national approach to safer care (MP3 5,390 KB)

Session Discussion and Questions (MP3 3,420 KB)

Morning Concurrent Sessions

Identification of patients who are deteriorating

Chair:

Robert Herkes, Royal Prince Alfred Hospital, Sydney

Opening Presentation (PDF 120 KB)

Opening Presentation (MP3 1,860 KB)

Aaron Jones, Royal Prince Alfred Hospital, Sydney

‘Doing the obs’ – An exploration of vital sign monitoring in a large metropolitan teaching hospital (PDF 339 KB)

‘Doing the obs’ – An exploration of vital sign monitoring in a large metropolitan teaching hospital (MP3 3,730 KB)

Mark Horswill, University of Queensland

Identifying human factors problems in the design of 25 observation charts (PDF 7,390 KB)

Identifying human factors problems in the design of 25 observation charts (MP3 3,840 KB)

Daryl Jones, Austin Hospital, Melbourne

The MET afferent limb: Calling criteria and delayed activation (PDF 514 KB)

The MET afferent limb: Calling criteria and delayed activation (MP3 4,490 KB)

Session Discussion and Questions (MP3 6,160 KB)

 

Communicating about and learning from patients who are deteriorating

Chair:

Nicola Dunbar, Australian Commission on Safety and Quality in Healthcare

Opening Presentation (PDF 37 KB)

Opening Presentation (MP3 415 KB)

Aaron Armstrong, The Prince Charles Hospital, Brisbane

Why don’t nurses escalate? (PDF 321 KB)

Why don’t nurses escalate? (MP3 2,910 KB)

Kim Hill, Hunter New England Area Health Service

Clinical communication: Caring for the deteriorating patient (PDF 355 KB)

Clinical communication: Caring for the deteriorating patient (MP3 3,680 KB)

Charles Pain, NSW Clinical Excellence Commission

Preventing, recognising and responding to deterioration a function of teams (PDF 1,040 KB)

Preventing, recognising and responding to deterioration a function of teams (MP3 3,340 KB)

Ken Hillman, Simpson Centre for Health Services Research

Evaluation, audit and feedback (PDF 603 KB)

Evaluation, audit and feedback (MP3 4,160 KB)

Session Discussion and Questions (MP3 10,000 KB)

 

Educating staff about deterioration

Chair:

Anna Green, Western Health, Melbourne

Opening Presentation (PDF 52 KB)

Opening Presentation (MP3 1,170 KB)

Graham Reece, Blacktown Mt Druitt Hospital / O.A.S.I.S. Simulation Centre, Blacktown Campus, Sydney West

Solutions for recognising deterioration (PDF 2,370 KB)

Solutions for recognising deterioration (MP3 3,080 KB)

Brendan Flanagan, Southern Health Simulation & Skills Centre, Melbourne

Simulation training for recognising and responding to clinical deterioration (PDF 442 KB)

Simulation training for recognising and responding to clinical deterioration (MP3 3,510 KB)

Sally Squire, La Trobe University, Albury-Wodonga, and

MaryEllen Mickle, Ramsay Health Care, Victoria

Making an “Im – PACT” An education program for the early identification of the deteriorating patient (PDF 557 KB)

Making an “Im – PACT” An education program for the early identification of the deteriorating patient (MP3 4,630 KB)

Mary Langcake, St George Hospital, Sydney

A CCrISP approach to the deteriorating patient (PDF 292 KB)

A CCrISP approach to the deteriorating patient (MP3 5,080 KB)

Session Discussion and Questions (MP3 4,620 KB)


Afternoon Concurrent Sessions

Rapid response systems in metropolitan areas

Chair:

Rinaldo Bellomo, The Austin Hospital, Melbourne

Opening Presentation (PDF 570 KB)

Opening Presentation (MP3 3,360 KB)

Daryl Jones, Austin Hospital, Melbourne

Saving deteriorating patients: ‘Glad we MET’ (PDF 381 KB)

Saving deteriorating patients: ‘Glad we MET’ (MP3 3,450 KB)

Anna Green, Western Health, Melbourne

Nurse-led rapid response program for a metropolitan hospital (PDF 1,940 KB)

Nurse-led rapid response program for a metropolitan hospital (MP3 3,560 KB)

Robert Herkes, Royal Prince Alfred Hospital, Sydney

To empower or disempower – THAT is the question (PDF 765 KB)

To empower or disempower – THAT is the question (MP3 4,660 KB)

Session Discussion and Questions (MP3 4,900 KB)

 

Care of deteriorating paediatric patients

Chair:

Kevin McCaffery, Royal Children’s Hospital, Brisbane

Opening Presentation (PDF 137 KB)

Opening Presentation (MP3 3,510 KB)

James Tibballs, Royal Children’s Hospital, Melbourne

Outcomes of a Paediatric Medical Emergency Team system (PDF 96 KB)

Outcomes of a Paediatric Medical Emergency Team system (MP3 4,040 KB)

Jonny Taitz, Sydney Children’s Hospital / NSW Clinical Excellence Commission

Achievements and challenges of the deteriorating paediatric patient (PDF 634 KB)

Achievements and challenges of the deteriorating paediatric patient (MP3 4,380 KB)

Heather Mugridge, The Canberra Hospital

Paediatric Deteriorating Patients: Developments in the ACT (PDF 418 KB)
Paediatric Deteriorating Patients: Developments in the ACT (MP3 2,670 KB)

Ruth McCaffery, Royal Children’s Hospital, Brisbane

The Children’s Early Warning Tool (PDF 4,740 KB)

The Children’s Early Warning Tool (MP3 5,660 KB)

Session Discussion and Questions (MP3 5,060 KB)

 

Rapid response systems in rural areas

Chair:

Gabriel Shannon, Orange Base Hospital

Opening Presentation (PDF 576 KB)

Opening Presentation (MP3 1,900 KB)

Graeme Malone, Ambulance Service of New South Wales

AMBULANCE: First line of response (PDF 651 KB)

AMBULANCE: First line of response (MP3 5,390 KB)

John Lambert, Greater Western Area Health Service / Orange Health Service

Managing the Deteriorating Patient (remotely) (PDF 8,470 KB)

 Managing the Deteriorating Patient (remotely) (MP3 6,000 KB)

Doug Gilchrist, Gove District Hospital, NT

Solutions in remote communities (PDF 684 KB)

Solutions in remote communities (MP3 5,770 KB)

Session Discussion and Questions (MP3 4,780 KB)

Afternoon Plenary Session

Afternoon Panel Session Discussions (MP3 13,000 KB)

Cliff Hughes, NSW Clinical Excellence Commission

The Deteriorating Patient (PDF 1,730 KB)

The Deteriorating Patient (MP3 3,280 KB)