You are the director of an ED reviewing a recent adverse outcome involving delayed instigation of appropriate care.
The case involved a 2-year-old with pneumonia who required intubation for severe respiratory distress. The child presented tachycardic and tachypnoeic, was triaged Category 3, waited 2 hours to be seen by an intern, and the consultant was informed 1 hour later. On senior review the child was moved immediately to resuscitation, intubated and transferred to ICU.
Complete the table with strategies to prevent a similar adverse event, and explain how each strategy would help.
(Marked out of 12.0)
| Strategy |
How this prevents a similar adverse event |
| System |
|
| System |
|
| Process |
|
| Process |
|
| Individual |
|
| Individual |
|
/ 12
Total Score: 0 / 12
Percentage: 0%
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