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Recognition and response system retrospective case note review template

19th November, 2021

A retrospective case review is recommended after incidents such as cardiac arrests, patient deaths, unplanned transfers to higher acuity care, or other reported events (SAC 1, 2 and 3) related to failures to recognise or respond to clinical deterioration.

A template for case review is available below in MS Word and PDF formats. The template was originally published in November 2017 and was updated in July 2021.

This template was informed by the National Confidential Enquiry into Patient Outcome and Death Time to Intervene review tool.

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Last updated: 19th November, 2021