ESCALATION
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  • Home
  • About
    • Project team
    • Project Timeline
  • 2021 Project News
    • 2020 Project News
    • 2019 Project news
  • Involving parents & families
  • Resources
    • Charts currently used
    • Track & trigger articles
    • Useful links
  • Contact
  • Education
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This project is supported by:

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 Early recognition of patient clinical deterioration followed by a prompt and effective response can minimise the occurrence of adverse events and may reduce the level of intervention required when delays occur. Failure to escalate care for a deteriorating patient can have devastating consequences, especially when the patient is a child.

In 2019 the ESCALATION System was developed as a result of literature review and benchmarking, consideration of human factor principles, extensive stakeholder engagement and consultation. The ESCALATION System was piloted tested for feasibility and acceptability in 6 WA hospitals (Perth Children's, Fiona Stanley, Joondalup, Broome, Albany and Narrogin). Further testing was conducted with a refined version of the ESCALATION system at Perth Children's Hospital and Broome Hospital. Findings from the 2019 & 2020 pilots resulted in minor changes and refinements.
 
The ESCALATION System combines 3 main features, charting, communication and family engagement:
  • Composite scoring system - 10 weighted variables; assessment of respiratory distress, respiratory rate, oxygen saturations, oxygen therapy, heart rate, central capillary refill time, blood pressure, level of consciousness (or level of sedation), pain score and clinician/family concern  
  • 5 charts: <3m, 3-12 m, 1-4y, 5-11y, 12y+
  • Respiratory distress assessment and oxygen delivery succinct and objective   
  • Standardised, clear escalation pathway appropriate for different contexts  
  • Standardised, clear sepsis pathway to facilitate sepsis recognition and early senior medical review for suspected sepsis
  • iSoBAR NOW timely escalation of care communication
  • Posters and flyers to promote family involvement
 
Final testing was completed at Perth Children's Hospital and Broome Hospital in September 2020. The System will be ready for state-wide implementation in 2021
 
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Photos used throughout this website are reproduced by kind permission of © Child and Adolescent Health Service, WA 
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