Responding to patient deterioration: a medical records analysis
Objective: This paper reports the medical record analysis findings to identify nurses and junior doctors risk assessment and response to the incidence of deteriorating patient in general ward. Methods: A medical records analysis was conducted at a medical ward in one Malaysian hospital. Patients...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IIUM Press
2018
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/1/Responding%20%20to%20%20Patient%20%20Deterioration%20%20A%20%20Medical%20Records%20Analysis%20_IJCS%2031.7.18.pdf |
| _version_ | 1848786541375127552 |
|---|---|
| author | Mohamed Ludin, Salizar Ruslan, Rusila |
| author_facet | Mohamed Ludin, Salizar Ruslan, Rusila |
| author_sort | Mohamed Ludin, Salizar |
| building | IIUM Repository |
| collection | Online Access |
| description | Objective: This paper reports the medical record analysis findings to identify nurses and junior doctors risk assessment and response to the incidence of deteriorating patient in general ward.
Methods: A medical records analysis was conducted at a medical ward in one Malaysian hospital. Patients that were admitted for more than 24 hours and scored at least 3 points on the Modified Early Warning Sign (MEWS) assessment
with their last 24 hours parameters calculated and nurses and junior doctor’s responses were analysed retrospectively.
Results: Out of 200 records obtained, only 10 patients’ medical records met the study inclusion criteria. Three main themes were evident in the study, namely ‘track and trigger’, ‘hierarchical intervening’ and ‘attitude’.
Conclusion: This study demonstrates that some nurses and junior doctors experience difficulties in effectively responding to patient deterioration which often occurs at a critical juncture. This study highlights factors which need to be addressed to increase patient safety and improve medical outcomes during hospitalization. |
| first_indexed | 2025-11-14T17:10:40Z |
| format | Article |
| id | iium-66249 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:10:40Z |
| publishDate | 2018 |
| publisher | IIUM Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-662492025-03-19T06:29:55Z http://irep.iium.edu.my/66249/ Responding to patient deterioration: a medical records analysis Mohamed Ludin, Salizar Ruslan, Rusila RT Nursing RT82 Nursing As A Profession Objective: This paper reports the medical record analysis findings to identify nurses and junior doctors risk assessment and response to the incidence of deteriorating patient in general ward. Methods: A medical records analysis was conducted at a medical ward in one Malaysian hospital. Patients that were admitted for more than 24 hours and scored at least 3 points on the Modified Early Warning Sign (MEWS) assessment with their last 24 hours parameters calculated and nurses and junior doctor’s responses were analysed retrospectively. Results: Out of 200 records obtained, only 10 patients’ medical records met the study inclusion criteria. Three main themes were evident in the study, namely ‘track and trigger’, ‘hierarchical intervening’ and ‘attitude’. Conclusion: This study demonstrates that some nurses and junior doctors experience difficulties in effectively responding to patient deterioration which often occurs at a critical juncture. This study highlights factors which need to be addressed to increase patient safety and improve medical outcomes during hospitalization. IIUM Press 2018-07-31 Article PeerReviewed application/pdf en http://irep.iium.edu.my/66249/1/Responding%20%20to%20%20Patient%20%20Deterioration%20%20A%20%20Medical%20Records%20Analysis%20_IJCS%2031.7.18.pdf Mohamed Ludin, Salizar and Ruslan, Rusila (2018) Responding to patient deterioration: a medical records analysis. International Journal of Care Scholars, 1 (2). pp. 22-29. ISSN 2600-898X http://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/73 10.31436/ijcs.v1i2.73 |
| spellingShingle | RT Nursing RT82 Nursing As A Profession Mohamed Ludin, Salizar Ruslan, Rusila Responding to patient deterioration: a medical records analysis |
| title | Responding to patient deterioration: a medical records analysis |
| title_full | Responding to patient deterioration: a medical records analysis |
| title_fullStr | Responding to patient deterioration: a medical records analysis |
| title_full_unstemmed | Responding to patient deterioration: a medical records analysis |
| title_short | Responding to patient deterioration: a medical records analysis |
| title_sort | responding to patient deterioration: a medical records analysis |
| topic | RT Nursing RT82 Nursing As A Profession |
| url | http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/ http://irep.iium.edu.my/66249/1/Responding%20%20to%20%20Patient%20%20Deterioration%20%20A%20%20Medical%20Records%20Analysis%20_IJCS%2031.7.18.pdf |