December 10, 2025Today, 10 December, all sites across Northern Health are introducing an important new change to the way we care for children – a simple but powerful question now asked during every observation set: “Are you worried your child is getting worse?”
The introduction of this question forms part of the state-wide rollout of the Refined ViCTOR Chart, following recommendations from Safer Care Victoria, and aims to strengthen early recognition of clinical deterioration in children.
Research has shown that parents often detect subtle signs of deterioration well before clinicians do and before vital signs change, making it essential that families are routinely invited to share any concerns.
Recent Victorian studies have also found that caregiver concern is independently associated with critical illness in paediatric patients, even when vital signs appear normal. These findings highlight the value of actively seeking parental input as part of routine care – something Northern Health is proud to strengthen today.
Clinical Deterioration & Resuscitation Coordinator, Liz Ward says, “Parents know their child best. By asking this simple question, we’re making sure their concerns are heard and acted on immediately.”
From today, nursing and medical staff will ask the Family/Carer Concern question whenever a parent or carer is present. If the response is ‘Yes’, a PreMET call will be initiated for urgent clinical review. The question will not be asked during procedures, at triage, immediately after birth, or when parents or carers are not at the bedside.
Dr David Tran, Divisional Director of Women’s & Children’s Services, says, “Introducing the question ‘Are you worried your child is getting worse’ means we can act faster when a child’s condition changes. It’s about giving families a voice and improving safety for every child in our care.”
Today’s implementation follows months of preparation, including staff education, scripts, translated materials and posters, along with an audit plan to ensure consistent and safe use of the updated chart across all paediatric settings.
Paediatric Clinical Nurse Educator, Kelly Alysandratos, says, “This change strengthens our partnership with families. It reassures parents that their instincts matter and helps us prevent serious deterioration before it happens.”
Reflecting on the impact of today’s launch, Liz Ward adds, “We’re proud to be leading this initiative. It’s a small change that will make a big difference for children and their families at Northern Health.”
