The National Consensus Statement: Essential elements for recognising and responding to acute physiological deterioration sets out the agreed practice for recognising and responding to acute physiological deterioration. It was developed as a generic document that applies to all patients in all acute care facilities in Australia.
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Leaders of a health service organisation set up and maintain systems for recognising and responding to acute deterioration. The workforce uses the recognition and response systems.
Integrating clinical governance
Responding to deterioration
Recognising acute deterioration
Ensuring that patients who deteriorate receive appropriate and timely care is a key safety and quality challenge. The Commission has introduced a range of systems to better manage recognition of and response to acute physiological deterioration.
Escalating care
Acute deterioration is detected and recognised, and action is taken to escalate care.
Organisation-wide systems are used to support and promote detection and recognition of acute deterioration, and the response to patients whose condition acutely deteriorates. These systems are consistent with the National Consensus Statement: Essential elements for recognising and responding to acute physiological deterioration, the National Consensus Statement: Essential elements for safe and high-quality end-of-life care, the National Consensus Statement: Essential elements for recognising and responding to deterioration in a person’s mental state, the National consensus statement: essential elements for safe and high-quality paediatric end-of-life care, and the Delirium Clinical Care Standard.
Recognising acute deterioration
This guide was released in 2012 to support implementation of the National Consensus Statement: Essential elements for recognising and responding to clinical deterioration. The Consensus Statement was updated in 2016.
The tools and resources can still be used by health service providers to identify strategies for successfully implementing robust recognition and response systems to address acute physiological deterioration.
Appropriate and timely care is provided to patients whose condition is acutely deteriorating.
The Recognising and Responding to Acute Deterioration Standard describes the systems and processes to respond effectively to patients when their physical, mental or cognitive condition deteriorates.
Serious adverse events such as unexpected death and cardiac arrest are often preceded by observable physiological and clinical abnormalities. Other serious events such as suicide or aggression are are also often preceded by observed or reported changes in a person's behaviours or mood that can indicate a deterioration in their mental state.
Responding to deterioration
Partnering with consumers
Applying quality improvement systems
Escalating care