Evidence-based paediatric nursing: paediatric early warning systems

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Evidence-based paediatric nursing: paediatric early warning systems.

In hospital cardiac arrest are rare events in paediatrics. Most children receive appropriate care without experiencing undetected severe clinical deterioration during hospital admission. Outcomes of paediatric cardiac arrests are however generally poor, with high mortality rates and neurological damage at survival. A review of child mortality in the UK showed that a high proportion of unexpecte...

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Paediatric Early Warning Trigger--A Cry for Help.

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...

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Republished: paediatric early warning scores: Holy Grail and Achilles' heel.

Early Warning Scores (EWS) have become increasingly used by hospitals throughout the world to prevent unexpected admission to intensive care or even death in their inpatient population. It is well known that signs of deterioration are present well before collapse and by a combination of systems, EWS enable healthcare professionals to intervene at an appropriate time. A number of national bodies...

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Paediatric early warning systems (PEWS and Trigger systems) for the hospitalised child: time to focus on the evidence.

Paediatric early warning systems (PES) detect trends of abnormality and indicate the need for care escalation, the extent of which depending on the value of score, for example, from nursing review to consultant input being required. Two broad systems exist: Trigger systems and early warning scores (PEWS). Trigger systems operate in an ‘all or nothing’ fashion as they activate an urgent clinical...

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Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review

OBJECTIVE To systematically review the available evidence on paediatric early warning systems (PEWS) for use in acute paediatric healthcare settings for the detection of, and timely response to, clinical deterioration in children. METHOD The electronic databases PubMed, MEDLINE, CINAHL, EMBASE and Cochrane were searched systematically from inception up to August 2016. Eligible studies had to ...

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ژورنال

عنوان ژورنال: Nursing Children and Young People

سال: 2016

ISSN: 2046-2336,2046-2344

DOI: 10.7748/ncyp.28.4.53.s29