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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.
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 ESCALATION System combines 3 main features, charting, communication and family engagement:
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 is now implemented at Perth Children's Hospital and Broome Hospital.
- State-wide implementation in all WA Hospitals is underway for 2022 coordinated by WA Department of Health.
The ESCALATION System combines 3 main features, charting, communication and family engagement:
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