P0171 / #810: PRELIMINARY RESULTS OF THE INTRODUCTION OF AN EARLY SEVERITY ALERT SCORE IN A PEDIATRIC UNIT OF A PRIVATE HOSPITAL

Abstract

Aims & Objectives: The pediatric early warning system was designed to provide an assessment that would reproduce the condition of the sick child based on physiological parameters according to an assessment scale using a score. Studies indicate that changes in physiological signs in children precede the deterioration of clinical status in hours The goal is to trigger the Rapid Response Team (RRT) within 10 minutes of identifying worsening health conditions, sudden cardiac arrest by the inpatient care team. Objective: To implement an early severity alert score in a pediatric inpatient unit to quickly identify the child’s clinical worsening Methods: Preliminary experience report experienced in the implementation of an alert score instrument in a general private hospital in the pediatric inpatient unit, from January 2018 to November 2019. To support the quality and safety of pediatric care, we identified the need to use a Pediatric Early Score (PEWS) instrument to evaluate simply, quickly, allowing immediate visualization of the result and directing care follow-up Results: The use of the instrument provided parameterization in the electronic medical record systematically optimizing visualization of the RRT start score. Based on this definition, we observed an improvement in the time between the first warning signal and the RRT attendance from 74% to 80.31% when compared to the previous year, with the rate of referral to the post-RRT ICU remaining unchanged. 18% Conclusions: The use of the instrument provided rapid identification using the score for child care in a shorter time after PEWS implantation and safer care according to the patient’s real need