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Establishing recognition and response systems
Health service organisations have policies or protocols for the organisation that are implemented in areas such as: measurement and documentation of observations, escalation of care, establishment of a rapid response system and communication about clinical deterioration. Information about these systems is collected and feed back to the clinical workforce to track performance and outcomes over time.
Recognising clinical deterioration and escalating care
Mechanisms that record physiological observations and include triggers to escalate care when deterioration occurs are in place. Mechanisms are in place to escalate care and call for emergency assistance.
Responding to clinical deterioration
Criteria for triggering a call to the response team are included in the escalation protocol and these calls are regularly reviewed. The clinical workforce is trained in basic life support, and a clinician with advanced life support training is available on-site or nearby at all times.
Communicating with patients and carers
Patients, families and carers are informed of recognition and response systems and can respond to the processes of escalating care
Source: National Safety and Quality Health Service Standards, 2011 [7]
