G453(P) ‘Between the flags’ paediatric early warning system is a sensitive tool to detect deterioration in children from district general hospitals admitted to paediatric intensive care

2017 ◽  
Author(s):  
B Blackstone ◽  
A Sharmila ◽  
A Pienaar ◽  
R Bevan ◽  
R Cheung
Keyword(s):  
Intensive Care ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Paediatric Intensive Care ◽  
General Hospitals ◽  
Sensitive Tool

scholarly journals Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Davina Allen ◽  
Amy Lloyd ◽  
Dawn Edwards ◽  
Kerenza Hood ◽  
Chao Huang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Warning ◽  
Early Warning System ◽  
Paediatric Intensive Care Unit ◽  
Warning System ◽  
Early Warning Systems ◽  
Paediatric Intensive Care ◽  
The United Kingdom ◽  
Alternative Outcome

Abstract Background Paediatric mortality rates in the United Kingdom are amongst the highest in Europe. Clinically missed deterioration is a contributory factor. Evidence to support any single intervention to address this problem is limited, but a cumulative body of research highlights the need for a systems approach. Methods An evidence-based, theoretically informed, paediatric early warning system improvement programme (PUMA Programme) was developed and implemented in two general hospitals (no onsite Paediatric Intensive Care Unit) and two tertiary hospitals (with onsite Paediatric Intensive Care Unit) in the United Kingdom. Designed to harness local expertise to implement contextually appropriate improvement initiatives, the PUMA Programme includes a propositional model of a paediatric early warning system, system assessment tools, guidance to support improvement initiatives and structured facilitation and support. Each hospital was evaluated using interrupted time series and qualitative case studies. The primary quantitative outcome was a composite metric (adverse events), representing the number of children monthly that experienced one of the following: mortality, cardiac arrest, respiratory arrest, unplanned admission to Paediatric Intensive Care Unit, or unplanned admission to Higher Dependency Unit. System changes were assessed qualitatively through observations of clinical practice and interviews with staff and parents. A qualitative evaluation of implementation processes was undertaken. Results All sites assessed their paediatric early warning systems and identified areas for improvement. All made contextually appropriate system changes, despite implementation challenges. There was a decline in the adverse event rate trend in three sites; in one site where system wide changes were organisationally supported, the decline was significant (ß = -0.09 (95% CI: − 0.15, − 0.05); p = < 0.001). Changes in trends coincided with implementation of site-specific changes. Conclusions System level change to improve paediatric early warning systems can bring about positive impacts on clinical outcomes, but in paediatric practice, where the patient population is smaller and clinical outcomes event rates are low, alternative outcome measures are required to support research and quality improvement beyond large specialist centres, and methodological work on rare events is indicated. With investment in the development of alternative outcome measures and methodologies, programmes like PUMA could improve mortality and morbidity in paediatrics and other patient populations.

1233: PEDIATRIC EARLY WARNING SYSTEM DEVELOPMENT AND IMPLEMENTATION IN A PEDIATRIC INTENSIVE CARE UNIT

2016 ◽  
Vol 44 (12) ◽  
pp. 384-384
Author(s):  
Kristen Nelson McMillan ◽  
Kristen Brown ◽  
Charlotte Woods-Hill ◽  
Susan Floyd ◽  
Bonnie Staso ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Early Warning ◽  
Early Warning System ◽  
System Development ◽  
Warning System ◽  
Pediatric Intensive Care

scholarly journals Automated early warning system for septic shock: the new way to achieve intensive care unit quality improvement?

2017 ◽  
Vol 5 (1) ◽  
pp. 17-17 ◽  
Author(s):  
Fábio Ferreira Amorim ◽  
Alfredo Nicodemos Cruz Santana
Keyword(s):  
Intensive Care Unit ◽  
Septic Shock ◽  
Intensive Care ◽  
Quality Improvement ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System

1199: TOWARD AN EARLY WARNING SYSTEM ON NEED FOR LIFESAVING INTERVENTIONS IN INTENSIVE CARE PATIENTS

2018 ◽  
Vol 46 (1) ◽  
pp. 583-583
Author(s):  
Dae Hyun Lee ◽  
Meliha Yetisgen ◽  
Eric Horvitz
Keyword(s):  
Intensive Care ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Intensive Care Patients

Design and Implementation of Intelligent Road Ice Early Warning System

CICTP 2020 ◽  
2020 ◽  
Author(s):  
Wendi Liu ◽  
Zhiqing Zhang ◽  
Dongzhao Li ◽  
Xintong Wu
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Design And Implementation
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