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    Paediatric early warning scores on a children's ward: a quality improvement initiative.

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    Authors
    Ennis, Linda
    Affiliation
    University Hospital Waterford, Ireland.
    Issue Date
    2014-09-09
    Keywords
    CHILD HEALTH
    HOSPITAL
    
    Metadata
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    Citation
    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 People
    Publisher
    Nursing children and young people
    Journal
    Nursing children and young people
    URI
    http://hdl.handle.net/10147/326191
    DOI
    10.7748/ncyp.26.7.25.e478
    PubMed ID
    25200240
    Abstract
    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
    Article
    Language
    en
    ISSN
    2046-2336
    ae974a485f413a2113503eed53cd6c53
    10.7748/ncyp.26.7.25.e478
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