Escalation Project

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 Project will develop a best practice approach to the early recognition and response to clinical deterioration in the WA health paediatric setting.


The benefits will be:
  • reduce practice variations and provide an evidence based system
  • allow nurses and doctors and families to effectively use the system
  • enable safer patient monitoring
  • standardise handover communication within and between hospitals
  • enable clinical staff to easily work across WA health facilities
  • provide a uniform pathway for families to escalate care
  • embed patient and family involvement throughout.

Project timeline

Quarter 1 - November to February 2019

  • Establish the steering group
  • Appoint project staff
  • Stakeholder engagment
  • Literature review
  • Baseline data collection/scoping/environmental scan
  • Data collation/analysis
  • January: Identify pilot sites.

Quarter 2 - March to May 2019

  • Ongoing stakeholder engagement
  • Consultations and identify local needs
  • Develop standardised system: charts, tailored escalation plans and responses
  • Research protocol, HREC and SSA
  • Training pilot sites and champions
  • Prepare prospective evaluation.

Quarter 3 - June to August 2019

  • Ongoing stakeholder engagement
  • Commence pilot
  • Pilot site support
  • Mix methods evaluation:
    • Audits
    • Surveys
    • Interviews
    • Focus groups.

Quarter 4 - September to December 2019

  • Data analysis
  • Feedback to stakeholders
  • Revision and refinement system, resources and implementation tools
  • Report writing and recommendations for statewide implementation
  • Manuscript for publication.