Paediatric early warning scores on a children's ward: a quality improvement initiative.
Authors
Ennis, LindaAffiliation
University Hospital Waterford, Ireland.Issue Date
2014-09-09Keywords
CHILD HEALTHHOSPITAL
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Ennis L. Paediatric early warning scores on a children's ward: a quality improvement initiative. Nurs Child Young People. 2014, 26 (7):25-31 Nurs Child Young PeoplePublisher
Nursing children and young peopleJournal
Nursing children and young peopleDOI
10.7748/ncyp.26.7.25.e478PubMed ID
25200240Abstract
The aim of this quality improvement initiative was to incorporate a paediatric early warning score (PEWS) and track and trigger system in the routine care of children in an acute general children's ward at a regional hospital in the Republic of Ireland. In the absence of a nationally recommended specific PEWS strategy, a local plan was developed. The experience of structuring and implementing the PEWS and track and trigger system is presented in this article. Data from the first year of use were collected to evaluate the clinical utility and effectiveness of this system. In the busy acute children's service, the PEWS initiative was found to benefit processes of early detection, prompt referral and timely, appropriate management of children at potential risk of clinical deterioration. Nursing staff were empowered and supported to communicate concerns immediately and to seek rapid medical review, according to an agreed PEWS escalation plan. Outcomes were significantly improved.Item Type
ArticleLanguage
enISSN
2046-2336ae974a485f413a2113503eed53cd6c53
10.7748/ncyp.26.7.25.e478
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