Narrating Phenomena in a Case Study Report 22nd May 2017

Monday 22 May 2017

13.30- 16:00

Venue:  OxINMAHR HQ , Level 2 , Colonnade , OBU Headington Campus


Emily Allen

Timely and appropriate recognition and response to clinical deterioration often requires health professionals to navigate complex inter-professional practice pathways to effectively escalate patient care. Some practice pathways are deeply embedded within organisational culture (the way it has always been done); some have formed as a result of quality improvement interventions, protocol or policy; (the way it should be done), and others as a workaround for processes that are perceived as unnecessarily detailed, time consuming or inhibiting to the provision of quality patient care and optimal patient outcomes. Very little is understood about how these practice pathways influence day-to-day recognition and response to clinical deterioration, i.e. before an in-patient emergency response team, or group of ‘expert clinicians’ are called to a patient’s bedside to address their increasing clinical needs. This case study explored multiple data sources throughout a single organisation to develop a detailed multi-level in-depth case report of Rapid Response System-wide inter-professional practices issues that facilitated and inhibited effective recognition and response to clinical deterioration. Transparent presentation of data collection processes, analysis and interpretation can be challenging in case study research when multiple sources of information associated with the phenomena of interest have been accessed. A careful coherent audit trail is one important strategy, amongst many others, for researchers to consider when conducting case study research.

Please contact Olivia Ward   oxinmahr@brookes.ac.uk         Tel 01865 484158