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:
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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