Presentations and videos from Patient deterioration New Zealand: current state and future developments

20 Dec 2018 | Patient Deterioration

Presentations and videos from the Health Quality & Safety Commission's two-day conference Patient deterioration New Zealand: current state and future developments.

Day one


Heather Gunter, consumer, and Karyn Bousfield, director of nursing, West Coast DHB

Matt's story, an avoidable death (353KB, PDF)

Daryl Jones, intensive care specialist, Austin Health and Associate Professor, Monash University

Challenges for recognising and responding to patient deterioration (2.52MB, PDF)

Morning tea

Presentations from five DHBs on their work to implement improvements to their recognition and response systems

  • Jen Hassloch, quality improvement advisor, Nelson Marlborough DHB
  • Laurence Walker, intensive care specialist, and Luke Flynn, charge nurse Patient at Risk service, Auckland DHB
  • Jan Dewar, nurse director medicine, surgery and emergency, MidCentral DHB
  • Emma Jordan, nurse educator, and Jonathan Albrett, intensive care specialist, Taranaki DHB
  • Sarah Imray, clinical nurse specialist PAR service, Capital & Coast DHB

Clinical foundations

Jen Hassloch: catching people early (2.94MB, PDF)

Laurence Walker and Luke Flynn: governance, development and delivery (1.24MB, PDF)

Jan Dewar: Getting it right: one ward's journey (1.9MB, PDF)

Emma Jordan and Jonathan Albrett: patient deterioration (870KB, PDF)

Sarah Imray: one small step for CCDHB, one giant leap for patient safety (2.1MB, PDF)

Presentations from three lead sites on their work to co-design patient, family and whānau escalation processes

  • Nadeane Spriggs, clinical nurse educator, and Kim MacFarlane, team leader, Southern Cross Christchurch
  • Olivia Anstis, innovation and improvement manager, Waitemata DHB
  • Graeme Webb, quality coordinator child health, Canterbury DHB

Patient, family and whānau escalation processes – Kōrero Mai

Kōrero Mai at Southern Cross Christchurch (1.48MB)

Kōrero Mai at Waitemata DHB (3.51MB, PDF)

Kōrero Mai at Canterbury DHB (2.1MB, PDF)

Skills development for recognition and response systems
Concurrent sessions offering practical learning

Carl Horsley, intensive care consultant, Counties Manukau Health

Resilience: it's not you, it's the system (5.9MB, PDF)

Gary Tonkin, senior portfolio manager, Health Quality & Safety Commission

Next steps for the patient deterioration programme (1.7MB, PDF)


Day two


Daryl Jones

State of the nation in Australian rapid response systems (1.3MB, PDF)

Tricia Keelan, general manager; Graham Cameron, pou tikanga; Marama Tauranga, nurse leader; Kaywyn McKenzie, regional Māori health clinical operations manager and good to be great navigator; Marie Tata, health navigator; and Arona Smith, te pou taahu team leader – Bay of Plenty DHB Māori Health Gains and Development

Māori perspective of patient deterioration (1.3MB, PDF)

Morning tea

Alex Psirides

State of the nation in Aotearoa New Zealand's RRS and PD programme (6MB, PDF)

Ruth Large, clinical director, Waikato DHB

Challenges for recognising and responding to patient deterioration in a rural setting (2.5MB, PDF)

David Tripp, clinical leader, Capital & Coast DHB

A fair deal for the deteriorating elderly patient (1.2MB, PDF)

Dayle Keown, house surgeon, Nelson Marlborough DHB

EWS modificiations in patients with a DNACPR order in a provincial New Zealand hospital (745KB, PDF)

William Blackburne, house officer, Capital & Coast DHB

Medical emergency team (MET) call physiology and resource use in a medical HDU (293KB, PDF)

Jonathan Albrett, Taranaki DHB

An audit of low blood pressure in hospitalised patients requiring house surgeon review (681KB, PDF)

Dayle Keown

Does the content of a form make a difference to resuscitation conversations? (1.3MB, PDF)

Philip Daniel, advanced training registrar in palliative and general medicine, Capital & Coast DHB

MET members' perceptions of palliative care within MET calls (1.4MB, PDF)

Ben Barry, intensive care specialist, Capital & Coast DHB

Choosing wisely when patients deteriorate (2.1MB, PDF)

Afternoon tea

John Hewitt, nurse specialist, Canterbury DHB

Torturing large datasets (1.4MB, PDF)

Daryl Jones

Identifying dying people using data (705KB, PDF)

Emma Merry, palliative medicine specialist, Hawke's Bay DHB

Goals of care and treatment: missed opportunities (685KB, PDF)

Paul Huggan, infectious disease and acute medicine specialist, Waikato DHB

Sepsis kills – you can count on it (1.35MB, PDF)

Last updated 20/01/2022