Paediatric Early Warning Systems
Part of our 2017 symposium will be focusing on the current state of the art regarding early warning systems.
In anticipation Genevieve Paisley has complied a comprehensive list of web based resources that are reproduced below:
Electronic
- Birmingham Children’s – RAPID (Real-Time Adaptive and Predictive Indicator of Deterioration)
- Developing and evaluating a machine learning based algorithm to predict the need of pediatric intensive care unit transfer for newly hospitalized children
- Impact of introducing an electronic physiological surveillance system on hospital mortality
- Nervecentre Software – clinical applications for mobile technology – electronic observations (e-PEWS)
- NHS England – electronic PEWS
- NHS England – integrated digital care record – success story: safer hospitals, safer wards technology fund
- NUH – Using mobile technology to transform communication and safety – electronic ‘eObservations and eHandover’
- Real-time risk prediction on the wards: a feasibility study
Emergency Department
- CHA – 20-second sepsis screen
- Identifying high-risk children in the emergency department
- Scoring systems in paediatric emergency care: panacea or paper exercise?
Australia
- ACSQHC – observation charts for paediatric and maternity settings
- ACSQHC – recognising and responding to clinical deterioration – guide to implementation of the national consensus statement
- CEC – Pediatric Quality Program – Between the Flags (BTF)
- Children’s Hospital at Westmead – lessons from medical emergency teams in Australia (slides)
- Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse events on general wards: a systematic review and meta-analysis
- Improving the recognition of, and response to in-hospital sepsis
- Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios
- Royal Children’s – escalation of care flowchart
- Royal Children’s – Victorian Children’s Tool for Observation and Response (ViCTOR)
- Victorian Children’s Tool for Observation and Response (ViCTOR)
Europe
- BAPM – Newborn Early Warning Trigger and Track (NEWTT)
- HSE – Irish Paediatric Early Warning System (PEWS)
- NCEC national clinical guidelines – clinical deterioration – paediatric early warning system (PEWS)
- NHS England – exploring a national paediatric early warning system (PEWS)
- NHS England – PEWS charts
- NHS England – Respond to Ailing Child Tool (Re-ACT)
- NUH – Recognise and Rescue: a hospital-wide collaboration to improve response to the deteriorating patient at Nottingham University Hospitals NHS Trust
- NUH – Recognise and Rescue – improving the care of the deteriorating pediatric patient
- NUH – Recognise and Rescue praised by NHS England leaders
- NUH – Recognise and Rescue programme: improving patient safety
- Nurses’ ‘worry’ as predictor of deteriorating surgical ward patients: a prospective cohort study of the Dutch-Early-Nurse-Worry-Indicator-Score
- Optimizing patient safety for paediatric patients in 5 Dutch general hospitals by introducing PEWS within an (inter)national exchange collaborative network
- PaSQ – paediatric early warning scores (PEWS)
- PIPSQC – don’t just stand there – #REACT! REACT – the Respond to Ailing Children Tool
- PIPSQC – Irish Paediatric Early Warning System (PEWS)
- RCPCH – safe system framework for children at risk of deterioration
- RCPCH – Situation Awareness for Everyone (S.A.F.E)
- Spotting the Sick Child
- SPSP – paediatric care – Paediatric Sepsis 6
- Supporting quality improvement in paediatrics across an entire healthcare system
- Systematic literature review to support the development of a national clinical guideline – paediatric early warning system (PEWS)
- UK Sepsis Trust – clinical toolkits – acute hospital-inpatients
- Validation of National Early Warning Score in the prehospital setting
- What impact did a paediatric early warning system have on emergency admissions to the paediatric intensive care unit? an observational cohort study
North America
- Bedside Clinical Systems (BCS) – BedsidePEWS – news
- Bedside Clinical Systems (BCS) – BedsidePEWS – product
- Cincinnati Children’s – emergency codes outside the ICU
- Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: root cause analysis of unplanned ICU admissions
- Errors, omissions, and outliers in hourly vital signs measurements in intensive care
- Evaluating processes of care and outcomes of children in hospital (EPOCH): study protocol for a randomized controlled trial
- Finding patients before they crash: the next major opportunity to improve patient safety
- Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events
- Model can ID patients at risk for serious safety events
- Multicenter collaborative approach to reducing pediatric codes outside the ICU
- Texas Children’s – confronting complexity and improving sepsis care: resilience and human factors – Code Sepsis program (slides)