Title : Different types of escalations of care conversations in deteriorating adults: A scoping review
Abstract:
Background:
To identify the efficiency of pre–Medical Emergency Team (MET) escalations of care conversation types. Types include consulting, liaising, interpretation/translation and coordinating between partners in care involved in the escalations of care of the deteriorating consumer presenting within international healthcare system including TeWhatu Ora – Aotearoa (New Zealand) populations.
Objective:
To recognize and assess the results from all studies including randomised control trials that have studied the efficiency of Escalation of Care (EOC) types between partners in care involved in the pre-MET escalations of care of the deteriorating consumer presenting within an acute care context.
Method:
A scoping review of all studies including randomised controlled trials involving types of escalations of care conversations. Studies which included information on repetition of EOC were also included as well as the role of interpretation between the partners in care. Altogether this amounts to 287 clinicians, 13 consumers, 40 wh?nau stratified/purposive sample study participants with outcome data.
Results:
7 studies reported repetition of EOC, interpretation as an outcome measure, classified into 2 categories. Constant clinician contact is indicated as a promising method for ensuring good EOC outcomes and has shown to significantly reduce low task confidence.
Audience Take Away Notes:
- Patient deterioration services is a dynamic clinical environment with some left behind in the process. This impacts patients. The review helps to look at the gaps in knowledge in this area.
- There are 4 types of EOC conversations within PaR work.
- To explore the needed option of Wh?nau (not just relatives but friends too) partners in care in EOC’s.
- Needful to change the dynamic clinical environment to support junior staff.
- Patient deterioration services need all partners in care to work together, this includes the patient, whanau and clinical staff.
