PIER

 A

PIER stands for:

• prevention: planning ahead of any episode of deterioration to stop what is preventable, considering indicators of risk and patient choice
• identification: tools and methods to identify when deterioration is occurring in a standardised way
• escalation: timely escalation of care when deterioration has been identified using standardised communication tools
• response: timely, appropriate and effective response to escalation of the deteriorating patient/person.

A