This is a discussion I had with Liz Staveacre (@lizzys39) who is Senior Critical Care Outreach Clinical Nurse Specialist at Northwick Park Hospital. Her Masters' dissertation looked at the factors that influence whether nurses will escalate the patient when it is necessary. From the discussion, it would seem that there is still some work to be done.

It certainly gives us some food for thought and hopefully will provide some refocus on the important problems.