Karen, experienced nurse, newly hired by the hospital to support patient care ward.

What do you think is going on with this patient?
(everyone to answer)

Initial Assessment ( ~3 min)

Patient Mr X deteriorating, seems to be in some distress

Share what you are most concerned about.
(everyone to answer)

What can our team learn from this case to improve the care in a similar situation?
Clinical & Team Discussion (~5 min)
What systems do we have in place to prevent this?
(every team member to answer)
What system issues might have contributed to this outcome?
(every team member to answer)
Systems Discussion (~5 min)
Issues:
- patient advocacy
- team communication
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