Deteriorating patient
Deteriorating patient

Deteriorating patient (including cardiac arrest and sepsis)

The aim of the Deteriorating Patient workstream is to reduce mortality and harm for people in acute hospitals by reliable recognition and response to acutely unwell patients. The SPSP team supports this by focusing on:
• early recognition of deteriorating patients through the National Early Warning Score (NEWS)
• the implementation of a process for structured response and treatment for sepsis, and
• person-centred care planning and early referral where required.

The Deteriorating Patient workstream builds on existing SPSP work when early warning scoring was widely implemented in NHSScotland’s hospitals to support the recognition of acute physiological deterioration.


Driver diagrams

Deteriorating patient driver diagram

Sepsis driver diagram

Evidence and literature searches

Tools and materials

NES Evidence Search and Summary - Sepsis Evidence Base – Update of 2011 search


Deteriorating Patient Process Measures November 2016

SepsisVTE (Venous Thromboembolism) Collaborative Evaluation

Care of deteriorating patients - SIGN guideline 139


Acute illness in adults in hospital: recognising and responding to deterioration

LIVING AND DYING WELL - a national action plan for palliative and end of life care in Scotland

Just Say Sepsis! A review of the process of care received by patients with sepsis 

201606 - Further reading

Deteriorating Patient Event 25th August 2017

Deteriorating Patient Event 25th August 2017 Flash Report

National Early Warning Score (NEWS) online training resource

Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Measurement Framework
This measurement framework has been developed and tested with the purpose of supporting local improvement by providing guidance for data collection and review.

Supportive & Palliative Care Indicators Tool (SPICTTM)

Royal College of Physicians - National Early Warning Score (NEWS)

Sepsis patient information leaflet

Sepsis poster

NHS Greater Glasgow and Clyde - Sepsis six sticker template

Time to first Antibiotc - Acute

Time to first Antibiotic - Specialty

Sepsis App - Available for Apple and Android

Sepsis Management - Agency for Healthcare Research and Quality

NHS Greater Glasgow and Clyde Palliative Care Website

SEPSIS KILLS Program - Lactate: how sick is your patient? (Jan 2015)

SEPSIS KILLS Program - IV Fluid Resuscitation in the septic patient (Jan 2015)

Institute for Healthcare Improvement (IHI) - Sepsis

FEAT World Sepsis Day Seminar - 13th September 2013

Stop Sepsis Now video