Ensuring a proactive, evidence-based, patient safety approach to patient assessment

Considine,J and Currey,J 2015, Ensuring a proactive, evidence-based, patient safety approach to patient assessment, Journal of clinical nursing, vol. 24, no. 1-2, pp. 300-307, doi: 10.1111/jocn.12641.

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Title Ensuring a proactive, evidence-based, patient safety approach to patient assessment
Author(s) Considine,JORCID iD for Considine,J orcid.org/0000-0003-3801-2456
Currey,JORCID iD for Currey,J orcid.org/0000-0002-0574-0054
Journal name Journal of clinical nursing
Volume number 24
Issue number 1-2
Start page 300
End page 307
Total pages 7
Publisher Wiley
Place of publication West Sussex, Eng.
Publication date 2015-01
ISSN 1365-2702
Keyword(s) decision-making
deteriorating patient
patient assessment
patient safety
risk management
Summary Aims and objectives: To argue that if all nurses were to adopt the primary survey approach (assessment of airway, breathing, circulation and disability) as the first element of patient assessment, they would be more focused on active detection of clinical deterioration rather than passive collection of patient data. Background: Nurses are the professional group that carry the highest level of responsibility for patient assessment, accurate data collection and interpretation. The timely recognition of, and response to deteriorating patients, is dependent on the measurement and interpretation of pertinent physiological data by nurses. Design: Discursive paper. Methods: Traditionally taught and commonly used approaches to patient assessment such as 'vital signs' and 'body systems' are not evidence-based nor framed in patient safety. The primary survey approach as the first element in patient assessment has three major advantages: (1) data are collected according to clinical importance; (2) data are collected using the same framework as most organisation's rapid response system activation criteria; and (3) the primary survey acts as a patient safety checklist, thereby decreasing the risk of failure to recognise, and therefore respond to, deteriorating patients. Conclusion: The vital signs and body systems approaches to patient assessment have significant limitations in identifying clinical deterioration. The primary survey approach provides nurses with a consistent, evidence-based and sequenced approach to patient assessment in every clinical setting. Relevance to clinical practice: All nurses should use a primary survey approach as the first element of patient assessment in every patient encounter as a patient safety strategy. © 2014 John Wiley & Sons Ltd.
Language eng
DOI 10.1111/jocn.12641
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069109

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