Review The National Safety and Quality Health (NSQH)
Standards; Recognising and Responding to Acute Deterioration.
Recognising clinical deterioration is consider as a critical
component to providing quality clinical care. The NSQH identifies
eight factors that contribute to a failure to recognise and
responding to clinical deterioration, and these include:
• Not monitoring physiological observations
consistently, or not understanding changes in
physiological observations
• Knowledge deficit of signs and symptoms that could
signal deterioration
• Limited of awareness of the potential for a person’s
mental state to deteriorate
• Knowledge deficit of delirium, and the benefits of early
recognition and treatment
• Knowledge deficit of formal systems for responding to
deterioration
• Knowledge deficit of skills to manage patients who are
deteriorating
• Failure to communicate clinical concerns, including in
handover situations
• Attributing physical or mental symptoms to an existing
condition, such as dementia or a mental health
condition.
Identify one (1) factor that is relevant to your chosen case
study and;
1a. Using evidence beyond the NSQH standard, discuss why failure
to recognise and respond to clinical deterioration occurs, along
with identifying contributing factors within the clinical environment
that may lead to or result in failure to recognise or respond to
clinical deterioration.
1b. Identify an evidence-based approach that would aid in reducing
incidences of failure to recognise and respond to clinical
deterioration for future delivery of clinical care.