Evaluation of a patient and family activated escalation system: Ryan's Rule.


School of Nursing Midwifery and Social Sciences, Building 18, Central Queensland University, Bruce Highway, Rockhampton, Q 4702, Australia. Electronic address: [Email]


Patients experience physiological changes in the hours preceding adverse medical events, and patients or their family can be the first to identify ominous signs of clinical deterioration that have gone undetected by health professionals. Patient and family activated escalation systems provide consumers access to a referral system that can address their concerns. In Queensland, this escalation system is called Ryan's Rule and once activated, triggers an independent clinical review. This study aimed to access clinicians' and activators' experiences to develop an understanding of the incidence, contributing factors, and outcomes surrounding Ryan's Rule activations.


Deteriorating patient,Escalation of care,Family activation,Family escalation,Patient and family activated escalation systems (PFAESs),Rapid response systems,

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