Limitations of track and trigger systems and the National Early Warning Score. Part 3: cultural and behavioural factors

British Journal of Nursing : BJN
Steven Grant

Abstract

This article discusses the evidence in relation to preventable deaths and a reported culture of suboptimal care. It warns of the dangers of over-relying on track and trigger systems (TTS) in place of clinical judgement. The article explores cultural and behavioural factors, the effects of short staffing and inappropriate skill mix, which all increase the risk of human error. It emphasises a key message that registered nurses must reflect on the need to change their individual and team approaches to the recognition and assessment of the deteriorating patient.

References

Jul 24, 2004·Journal of Advanced Nursing·Charles Hendry, Anne Walker
May 26, 2006·British Journal of Nursing : BJN·Jacqueline Hogan
May 28, 2010·British Journal of Nursing : BJN·Rosemary Preston, Deborah Flynn
Jun 23, 2010·Journal of Advanced Nursing·Mandy OdellDavid Oliver
Jan 14, 2011·BMJ Quality & Safety·Aniela Angelow, Nick Black
Feb 9, 2012·Health Care Management Review·Beatrice J KalischSeung Hee Choi
Oct 25, 2013·British Journal of Nursing : BJN·Claire Perkins, Maria Kisiel
Apr 8, 2014·Journal of Advanced Nursing·Clint DouglasUNKNOWN Members of the RBWH Patient Assessment Research Council
Dec 4, 2014·International Journal of Nursing Studies·Ruth HarrisNigel Davies
Jan 20, 2016·Medical Care·Matthew D McHughUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Aug 25, 2016·The Journal of Nursing Administration·Terry L Jones
Jun 24, 2017·British Journal of Nursing : BJN·Barry Hill
Jul 21, 2017·Journal of Advanced Nursing·Jennifer McGaugheyBronagh Blackwood

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