Improving clear , consistent documentation of treatment escalation plans As part of its commitment to patient safety and quality of care, King’s College Hospital NHS Foundation Trust designed clear, consistent processes to document clinical decisions about resuscitation. It created an electronic tool to capture the clinical resuscitation decisions for each acute patient admission. This consists of a ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) form and treatment escalation plan (TEP), which defines appropriate levels of intervention. The percentage of monthly admissions with documentation of these clinical decisions improved from 18% on paper-based forms to reach nearly 100% with an electronic tool that uses an intelligent Allscripts Sunrise order set. Challenges of

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