CNA153, Semester 1: Early Save Program Effectiveness Analysis Report

This report evaluates the effectiveness of the "early save" program implemented by a hospital, focusing on its impact on patient outcomes and clinical conditions. The analysis compares pre- and post-implementation data, revealing significant improvements in mortality rates, ICU transfers, and the number of patients remaining on the general ward. The program, including code blue and medical emergency teams, is shown to be effective in identifying deteriorating clinical conditions and providing timely interventions. The report highlights how the data can be used to demonstrate compliance with NSQHS standards and to train family members or caregivers. The findings demonstrate the program's positive effect on patient care and the hospital's ability to promptly address patient needs, with specific data points illustrating reductions in patient deterioration. The report emphasizes the importance of early intervention strategies in improving overall patient outcomes.

UNIVERSITY NAME
Student’s name
Student’s ID
CNA153 Foundations for Professional Practice 2

Part 1
Q1. Yes, I believe that the “early save” program implemented by the hospital is effective in
improving early timely and early recognition of deteriorating clinical conditions in my hospital
where I am working. The reason for this conclusion is that looking at the data provided
comparing pre –early save program to post early save program you will realize that there are
improvements in terms of patients that died, transferred to ICU, transferred to HDU as well as
those who remained on the general ward. Specifically, 25% of the patients that were in need of
early save program but were not subjected to the program died compared to 10% date of all the
patients that were subjected to early save program after the innovation was implemented. This
shows a reduction of 10% in deaths that occurred when the two phases are compared. (Prokscha,
2012)
Another aspect that shows improvement is percentage of patients transferred to Intensive Care
Unit. In the pre –early save program 35 % of the patients were moved to or transferred to ICU in
comparison to 20% of those patients that were transferred to during the post early save program.
Putting this in a different perspective, transferring patients to ICU means the patient’s health was
deteriorating meaning there were less patients whose clinical conditions deteriorated during post
early save program compared to pre early save program. (Rondel, Varley and Webb, 2012).
Although from the data we can see that same percentage of patients were moved to or transferred
to HDU for both pre and post early save program this can be attributed to the fact that the level
clinical deterioration of the patients were such that it is difficult to improve them through early
save program as these are basic steps that only seeks to assist the patient but not detailed and
specific medical attention and that these kind of patients were going to need HDU in any case.
Comparing patients that remained on ward to those that either were transferred to ICU, HDU or
lost their life we can see an improvement of 30% between pre early save program to post early

save program, post early save recording 50% remain on ward compared to 20% in pre save
program. From the above analysis it can it clear that the early save program both the code blue
and the one with medical emergency team are effective in ensuring as many patients are saved as
possible as opposed to not having such program in place. (Cerrito and Cerrito, 2010)
Q2. The data can be used by the hospital to show the hospital has been able to promptly
indentify the deteriorating clinical conditions of its patients and that correct measure were taken
to save the life of the patient, as stipulated in standard 9 of the NSQHS. The program
implemented by my hospital also show reducing percentage of patients whom the hospital had to
escalate their conditions to the next level of care between “pre early save” program to “post early
save program”. The post early save program had less percentage of patients whose conditions
had to be escalated. This information can be used by the hospital to train the family members or
cares of the patients and have this reported to NSQHS to show how the hospital has been able to
achieve this. (Rogers, Randolph and Mastroianni, 2013)

References
Cerrito, P. and Cerrito, J. (2010). Clinical data mining for physician decision making
and investigating health outcomes. Hershey, PA: Medical Information Science
Reference.
Prokscha, S. (2012). Practical guide to clinical data management. Boca Raton:
CRC/Taylor & Francis.
Rogers, B., Randolph, S. and Mastroianni, K. (2013). Occupational health nursing
guidelines for primary clinical conditions.
Rondel, R., Varley, S. and Webb, C. (2012). Clinical data management. Chichester:
Wiley.