Footnotes

• X @DrSamRay

• Collaborators The GOSH Deteriorating Patient QI Group is led by Nuwanthi Yapa Mahathanthila and is steered by the following members: Elizabeth Akers, Johanna Andersson, Katherine L Brown, Charles A Bouvier, Petra Carroll, Sharon Chalkley, Linda Chigaru, David DeBeer, Rhiannon Follett, Catherine Le-Mar, Matko Marlais, Zoe Phillips, Madhuri Raja, Mani Randhawa, Helen Saraqi, Keir Shiels, Amy Sibley, Claire Steele, Lucy Turriff, Sam West and Claire Williams.

• Contributors SR conceptualised and designed the study, analysed the data and interpreted the results. DS acquired and analysed the data. SR drafted the manuscript, which was reviewed by SR and DS. The work was undertaken on behalf of the GOSH Deteriorating Patient QI Group.

• Funding This work was undertaken as part of a Trust-wide quality improvement project to improve the care of deteriorating patients at Great Ormond Street Hospital. The authors received funding from the UK Sepsis Trust and Pfizer towards the quality improvement project, although not directly for this work.

• Competing interests None declared.

• Provenance and peer review Not commissioned; externally peer reviewed.