An after hours, multidisciplinary team based approach to care for Patients of Concern. Facilitated by the introduction of new nursing and medical leadership positions to provide: proactive clinical review for Patients of Concern; mentorship and support to more junior after hours staff; and new educational initiatives to improve staff recognition and response to clinical deterioration.
Up Late: An after-hours, team-based approach for patients of concern
Initiative Type
Service Improvement
Status
Close
Added
09 February 2020
Last updated
24 June 2022
Summary
Key dates
Aug 2018
Jun 2019
Implementation sites
RBWH
Partnerships
Consumer engagement informed the development of the service and were involved in project governance. Extensive interdepartmental collaboration drives the service (nursing, ICU, medicine in particular). External partnership with AusHSI assisted with rigo
Aim
- improve clinical outcomes for Patients of Concern
- improve patient perceptions of after hours care and safety
- improve after hours staff satisfaction
Benefits
- improved patient safety
- improved staff and patient perceptions of after hours care
- improved education in recognising and responding to acute deterioration
- improved governance with numerous quality improvement initiatives that have been able to be supported through greater visibility and measurement of problems
- outline in detail in the attached report
Background
An after hours, multidisciplinary team based approach to care for Patients of Concern. Facilitated by the introduction of new nursing and medical leadership positions to provide: proactive clinical review for Patients of Concern; mentorship and support to more junior after hours staff; and new educational initiatives to improve staff recognition and response to clinical deterioration.