NDLI: Impact of Implementing a Pediatric Early Warning System (PEWS) in a Pediatric Oncology Hospital

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Impact of Implementing a Pediatric Early Warning System (PEWS) in a Pediatric Oncology Hospital

Content Provider	Scilit
Author	Agulnik, Asya Johnson, Sherry Wilkes, Regina Faughnan, Lane Carrillo, Angela Morrison, R. Ray
Copyright Year	2018
Description	Journal: Pediatric quality & safety Hospitalized pediatric oncology and hematopoietic stem cell transplant (HSCT) patients have frequent clinical deterioration requiring transfer to the Pediatric Intensive Care Unit (PICU). Pediatric Early Warning Systems (PEWS) can aid early identification of clinical deterioration and improve outcomes in these patients. Describe the impact of PEWS implementation in a dedicated pediatric hematology-oncology/HSCT hospital. A PEWS tool and escalation algorithm were implemented between August and October 2016 (Fig. 1). Implementation quality was evaluated by measuring errors in PEWS calculation, omissions, and algorithm activation. Frequency of emergency activations and method of unplanned PICU transfer were compared before and after PEWS implementation. Random monitoring of PEWS scores demonstrated 12.7% calculation errors, 3.8% omissions, and 1.7% algorithm errors. Omissions and algorithm errors decreased over time following implementation (P P PEWS can be successfully implemented in a pediatric hematology-oncology/HSCT hospital with improvement in accuracy over time. Implementation of PEWS resulted in increased use of the RRT system and more patients with clinical deterioration arriving to the PICU via an organized escalation pathway, representing standardization of care and improvement in the culture of safety in the hospital.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132755/pdf
ISSN	24720054
e-ISSN	24720054
DOI	10.1097/pq9.0000000000000065
Journal	Pediatric quality & safety
Issue Number	2
Volume Number	3
Language	English
Publisher	Ovid Technologies (Wolters Kluwer Health)
Publisher Date	2018-03-01
Access Restriction	Open
Subject Keyword	Journal: Pediatric quality & safety Pediatrics and Child Health Pediatric Early Warning System Pediatric Oncology Rapid Response Team Hematopoietic Stem Cell Transplant Clinical Deterioration
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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