Themes | Quotes | Comment | |
1. Better understanding of C-ART terminology | Doctor | I knew what a C-ART meant because of the orientation. | Doctors were able to correctly identify the system in place for behavioural disturbances within the hospital. |
2. Good understanding of doctors role in C-ART | Doctor | So I think C-ART orientation was quite helpful, I realised the role of the manager, the role of doctor, the role of the team leader (and) what they should be doing. | Doctors were better informed and confident regarding their own role. Additionally, medical officers had a better understanding of the role of other C-ART members. |
3. Evidence of handover to medical teams post C-ART call. | Doctor | With any serious problem for example a C-ART call, or rapid response, I usually handed over the case. | Communication between medical teams regarding patients receiving C-ART calls showed some improvement, particularly at the daily medical handover meeting. |
4. Ongoing pressure to prescribe sedating medication | Doctor | There is a lot of pressure on medical staff to basically sedate so that everyone can walk away and get on with the day. | Doctors continue to describe many instances where they were pressured to prescribe pharmacological sedation. |
5. Poor post C-ART call debriefs | Doctor | No debrief about what worked or didn’t work during the C-ART call. | There was no evidence that debriefs occurred post C-ART calls. |
6. Poor handover from ward staff to the C-ART members at the commencement of a C-ART call | Doctor | They would say this patient is agitated or this patient is trying to hit someone or something like that in very general terms but not a comprehensive handover. | A patient handover from ward staff to C-ART members at the commencement of the C-ART call remained poor. |
C-ART, Clinical Aggression Response Team.