1 / 3

Review of Observation Policy

What triggered the review? 4 in-patients deaths where observation was a factor. Methodology Reviewed SUI reports and disciplinary cases over a 12 month period to identify where observation had been a factor. Multi-disciplinary focus groups - large cross section of staff. Literature review

norah
Download Presentation

Review of Observation Policy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. What triggered the review? 4 in-patients deaths where observation was a factor. Methodology Reviewed SUI reports and disciplinary cases over a 12 month period to identify where observation had been a factor. Multi-disciplinary focus groups - large cross section of staff. Literature review Commissioned NCISH to undertake a review of the four deaths. Findings from that review were provided at a professional seminar on the 17 Oct 2013. Considered findings from Coroner hearings Review of Observation Policy

  2. Established a set of principles based on positive risk and therapeutic engagement Clinical risk assessment is the basis for determining levels of observation and not ‘custom and practice’ Change in emphasis - revised policy is now called the ‘Engagement and Observation’ policy. Removed 60 and 30 minute timed observations Intermittent observation at other intervals (e.g 15 mins) must be clearly risk assessed, purposeful and undertaken with the utmost diligence to ensure patient safety is maintained at all times. Reduction in observation can be authorised by senior non-medical clinicians Outcomes

  3. NICE Guideline 25 review is underway and we await the outcomes from this The NCISH review broadly supports our proposals in respect of the revised policy. We are carrying out a phased implementation of the revised policy which is being monitored by the Trust’s Safety Programme Board Thank you anthony.deery@ntw.nhs.uk Additional points

More Related