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The meaning of ‘worried’ in MET call activations : A regional hospital examination of the clinical indicator

By Anita Raymond, Joanne Porter, Karen Missen, Jo-Ann Larkins, Kerry de Vent and Simone Redpath


Little is known about why nurses escalate a Medical Emergency Team (MET) response based on ‘worried’ criteria or what clinical findings define a ‘worried’ MET call. Limited clarity exists in nursing literature regarding the clinical definition of ‘worried’ in medical emergencies. Commonly ‘worried’ terminology is associated with nursing intuition about a patient's condition before signs of decline in clinical condition. This research has identified the exact clinical cause of ‘worried’ escalations, with evidence to support that clinical reasoning and patient deterioration are the main cause of ‘worried’ activation. This research has also highlighted areas for further professional development to enhance levels of patient safety and quality care within a regional hospital setting

Topics: 1110 Nursing, Patients, Hospitals, Warning score, MET call, Clinical indicator
Publisher: Elsevier B.V.
Year: 2019
DOI identifier: 10.1016/j.colegn.2018.11.002
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