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Alex Psirides
Intensive
Care Specialist, Wellington Regional Hospital, Wellington, NZ
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BIOGRAPHY
Alex is an Intensive Care specialist working in
Wellington, having trained in London, Melbourne and New Zealand. He has been
involved in the design and implementation of rapid response systems in several
different hospitals. His work in deteriorating patient safety systems led to an
appointment as the clinical lead for the New Zealand Health Quality &
Safety Commission’s national ‘Deteriorating Patient’ programme.
In his spare time, when not walking his dog or
children, he builds websites & designs logos for Wellington ICU’s
prodigious research department. He has nearly written a lot more papers &
as such should spend less time on Twitter.
ABSTRACT
Patient Deterioration & The HQSC
Late last century intensivists decided that the
rest of the hospital couldn’t cope without their interference in the management
of ward patients they had previously wanted little to do with. The outreach
service and its more aggressive cousin, the rapid response team, were born. The
deteriorating patient movement continues to grow, leaving in its wake a variety
of pastel-shaded charts pored over by ward staff fearful of perpetual
change.
Unfortunately for the naysayers, such systems
continue to prove their worthiness with a growing evidence base of significant
reduction in harm. So much so that the Health Quality & Safety Commission
have invested significant funds in a five-year quality improvement programme to
address this at-risk group.
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