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 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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