Paediatric early warning trigger, a cry for help

Hdl Handle:
http://hdl.handle.net/10147/597128
Title:
Paediatric early warning trigger, a cry for help
Authors:
Bolger, T; Clarke, N; Crowe, S; Martin, C; Koe, S
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Dec-2015
URI:
http://hdl.handle.net/10147/597128
Abstract:
In paediatrics, it is crucial to ensure that the child who is clinically deteriorating is rapidly recognised and treated. We implemented a Paediatric Early Warning Trigger (PEWT) in our unit to improve recognition of these patients. Our trigger was a series of physiological measurements with a PEWT call if any result was outside the accepted range. We retrospectively compared 12 months prior to the introduction of the trigger (January to December 2009) to the three years post the introduction of the trigger (January 2010 to December 2012). We compared the time from deterioration to involvement of senior staff during the two time periods. We also examined the rates of crash calls and PICU transfers in the two periods. We found that the time from deterioration to senior clinician involvement reduced from 312 minutes to 166 minutes and the rate of transfers to PICU among the triage category 1&2 patients reduced from 1:50 in 2009 to 1:129, 1:118 and 1:131 during the three years of the trial. The rate of cardiac arrest among this group reduced from 1:100 in 2009 to 1:129, 1:216 and 1:542 during the three years of the trial. This study demonstrates the effectiveness of a Paediatric Early Warning Trigger in an Irish setting. We have been able to maximise senior clinician input into our sickest children in a more timely fashion.
Item Type:
Article
Language:
en
Keywords:
PAEDATRICS
Local subject classification:
EARLY WARNING SYSTEM

Full metadata record

DC FieldValue Language
dc.contributor.authorBolger, Ten
dc.contributor.authorClarke, Nen
dc.contributor.authorCrowe, Sen
dc.contributor.authorMartin, Cen
dc.contributor.authorKoe, Sen
dc.date.accessioned2016-02-24T14:44:10Zen
dc.date.available2016-02-24T14:44:10Zen
dc.date.issued2015-12en
dc.identifier.urihttp://hdl.handle.net/10147/597128en
dc.description.abstractIn paediatrics, it is crucial to ensure that the child who is clinically deteriorating is rapidly recognised and treated. We implemented a Paediatric Early Warning Trigger (PEWT) in our unit to improve recognition of these patients. Our trigger was a series of physiological measurements with a PEWT call if any result was outside the accepted range. We retrospectively compared 12 months prior to the introduction of the trigger (January to December 2009) to the three years post the introduction of the trigger (January 2010 to December 2012). We compared the time from deterioration to involvement of senior staff during the two time periods. We also examined the rates of crash calls and PICU transfers in the two periods. We found that the time from deterioration to senior clinician involvement reduced from 312 minutes to 166 minutes and the rate of transfers to PICU among the triage category 1&2 patients reduced from 1:50 in 2009 to 1:129, 1:118 and 1:131 during the three years of the trial. The rate of cardiac arrest among this group reduced from 1:100 in 2009 to 1:129, 1:216 and 1:542 during the three years of the trial. This study demonstrates the effectiveness of a Paediatric Early Warning Trigger in an Irish setting. We have been able to maximise senior clinician input into our sickest children in a more timely fashion.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectPAEDATRICSen
dc.subject.otherEARLY WARNING SYSTEMen
dc.titlePaediatric early warning trigger, a cry for helpen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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