ESCALATION

This project is supported by:

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.

The ESCALATION System was developed in three phases as a result of literature review and benchmarking, consideration of human factor principles, extensive stakeholder engagement and consultation.

The first version was piloted and tested in 2019 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 in 2020.
Findings from the 2019 & 2020 pilots resulted in minor changes and refinements to create the third and final version of ESCALATION for 2021 implementation.

The ESCALATION System combines 3 main features, charting, communication and family engagement:

The ESCALATION System is now implemented at Perth Children's Hospital and Broome Hospital. The research team is preparing for state-wide implementation.