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'Changes of concern' for detecting potential early clinical deterioration: A validation study.
Jane Cioffi1, Richard Conway, Leanne Everist
1School of Nursing and Midwifery, University of Western Sydney, Locked Bag 1797, Penrith South DC, NSW 1797, Australia. j.cioffi@uws.edu.au
Summary
Nurses identified 10 necessary "changes of concern" to help detect early patient deterioration. Validating these indicators improves emergency response team calls and enhances patient safety in hospitals.
Area of Science:
- Clinical Nursing
- Patient Safety
- Healthcare Quality Improvement
Background:
- Acute care hospitals use 'patient of concern' criteria for emergency response team activation.
- Nurses report 'changes of concern' to alert teams, but their validity is unconfirmed.
Purpose of the Study:
- To determine the content validity of nurses' 'changes of concern' for emergency response team activation.
- To assess the necessity and sufficiency of identified 'changes of concern'.
Main Methods:
- An expert group of 10 experienced nurses evaluated 'changes of concern'.
- Content validity was assessed using Bausell's criteria (necessity and sufficiency).
- Descriptive statistics were used to summarize data.
Main Results:
- Ten 'changes of concern' were validated as necessary indicators for potential early deterioration.
- Associated factors for these 'changes of concern' were also confirmed as necessary assessment components.
Conclusions:
- Validated 'changes of concern' provide crucial clinical information for early detection of patient deterioration.
- This assessment enhances clinician capacity to appropriately activate emergency response teams, improving patient safety.
- Further research is needed on the 'patient of concern' criterion and its effectiveness in early detection.
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