This is a secondary driver from safe clinical and care processes for reliable recognition of deterioration and standardised structured response within the Deteriorating Patient driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Deteriorating Patient driver diagram
- Practitioner: Documenting re-assessment criteria as part of the management plan, including who to contact and the time of the next planned reassessment
- Team: Patients, families and carers are given advice to support identification of further deterioration using locally agreed communication method
Evidence and resources
- Bucknall T, Quinney R, Booth L, McKinney A, Subbe CP, Odell M. When patients (and families) raise the alarm: patient and family activated rapid response as a safety strategy for hospitals. Future Healthc J. 2021;8(3):e609-12.
- NHS Inform. Communication and involving you [online]. 2025
- Scottish Intercollegiate Guidelines Network. SIGN 167: care of deteriorating patients. A national clinical guideline [online]. 2023