Deteriorating patient and their handover- January 2013


Deteriorating patient and their handover


Listed below is the high level evidence on Deteriorating patient and their handover produced by NICE, SIGN and NHS based organisations. Also included are the European Society guidelines where available. This list is produced and maintained by HEFT Library Services to support VITAL 4 Medics core skills programme developed in the Trust.


HEFT Policies

Critical care operational policy 2008

Electronic patient handover policy 2009


Map of Medicine

End of life care in adults: Assessment and care planning


National Guidelines & Non-UK Guidelines (includes Professional Bodies/Associations)

CG50 Acutely ill patients in hospital: recognition of and response to acute

illness in adults in hospital.


NICE 2007

Acutely Ill Patients in Hospital. Recognition of and Response to Acute Illness in Adults in Hospital. London: NICE.


National Patient Safety Agency (2007)

Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.

London: NPSA


The National Confidential Enquiry into Patient Outcome and Death (2005)

An Acute Problem? London: NCEPOD.


Systematic Reviews – Cochrane Library

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards
Jennifer McGaughey, Fiona Alderdice, Robert Fowler, Atul Kapila, Alain Mayhew, Marianne Moutray January 2009


NHS Evidence

Hammond NE, Spooner AJ, Barnett AG

The effect of implementing a modified early warning scoring (MEWS) system on the adequacy of vital sign documentation
Australian Critical Care, Available online 29 May 2012

Buykx P, Cooper S, Kinsman L

Patient deterioration simulation experiences: Impact on teaching and learning
Collegian: Journal of the Royal College of Nursing Australia

Available online 5 May 2012


Winterbottom F, Seoane L, Sundell E, Niazi J, Nash T.

Improving sepsis outcomes for acutely ill adults using interdisciplinary order sets.

Clin Nurse Spec. 2011 Jul-Aug;25(4):180-5.


Aitken, LM, Williams G, Harvey M

Nursing considerations to complement the Surviving Sepsis Campaign guidelines.

Critical Care Medicine. 2011 Jul;39(7):1800-18.


Wiersinga WJ.

Current insights in sepsis: from pathogenesis to new treatment targets.

Current Opinion Critical Care. 2011 Oct; 17(5):480-6.



Liaw SY, Rethans  JJ, Scherpbier A

Rescuing A Patient In Deteriorating Situations (RAPIDS): A simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration
Resuscitation, Volume 82, Issue 9, September 2011, Pages 1224-1230

Wise AM, Glaspey SA

Incidence of Clinical Deterioration in a Low Acuity Population of Emergency Department Sepsis Patients

Annals of Emergency Medicine, 2011-10-01, Volume 58, Issue 4, Pages S283-S283


Kent N, Fields W.

Early recognition of sepsis in the emergency department: an evidence-based project.

J Emerg Nurs. 2012 Mar;38(2):139-43. Epub 2010 Sep 16.


Stubbe CP

Better ViEWS ahead?: It is high time to improve patient safety by standardizing Early Warning Scores
Resuscitation, Volume 81, Issue 8, August 2010, Pages 923-924


Mitchell A, McKay C, Van Leuvan C

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients
Resuscitation, Volume 81, Issue 6, June 2010, Pages 658-666


Clark E, Squire S, Heyme A, Mickle ME, Petrie E.

The PACT Project: improving communication at handover.

Med J Aust. 2009 Jun 1;190(11 Suppl):S125-7.


Featherstone P et al

RSVP: a system for communication of deterioration in hospital patients

British Journal of Nursing  2009; 17: 13, 860– 864.


Endacott R, Kidd T, Chaboyer W, Edington J

Recognition and communication of patient deterioration in a regional hospital: A multi-methods study
Australian Critical Care, Volume 20, Issue 3, August 2007, Pages 100-105