Time-critical Patient safety
Ryan’s Rule
How to ask for an urgent clinical review when you believe a patient in a Queensland public hospital is getting worse and your concerns aren't being recognised.
If someone is seriously unwell, call 000.
This guide is about raising concerns while someone is in hospital. It does not replace emergency care.
At a glance
- For patients, families and carers in Queensland public hospitals.
- Use it when a patient is getting worse and concerns aren't being recognised.
- It's an escalation for clinical concerns — not a complaints process.
What is Ryan's Rule?
Ryan’s Rule allows patients, families and carers in Queensland public hospitals to request an urgent clinical review if they believe a patient’s condition is getting worse and their concerns are not being recognised.
When should it be used?
Use Ryan’s Rule when all of these are true:
- The patient is deteriorating — getting worse, or not improving as expected.
- You have already raised your concerns with the treating team.
- You still believe another clinical review is needed.
How does it work?
Three steps, in order. You can move to the next step if you still feel you're not being heard.
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Speak with the treating team
Tell the nurse or doctor caring for the patient what you're noticing and why you're worried.
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Escalate to the nurse in charge or a senior doctor
If you still feel your concerns aren't being recognised, ask to speak with someone more senior.
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Ask staff to activate Ryan's Rule
Use the words "Ryan's Rule". This asks for an urgent clinical review of the patient.
Important
Ryan’s Rule is an escalation pathway for clinical concerns. It is not a complaints process. If you want to raise a complaint about care afterwards, there’s a separate pathway.
Want a hand with this?
We can help you understand the pathways available, organise your information and point you to the right organisations. We can't give medical or legal advice, but you don't have to work it out alone.
General information only. This guide is not medical or legal advice — seek professional advice for your circumstances. In an emergency, call 000.
