Abstract

ObjectiveTo determine the use of paediatric early warning systems (PEWS) and rapid response teams (RRTs) in paediatric units in Great Britain.DesignCross sectional survey.SettingAll hospitals with inpatient paediatric services in Great...

Highlights

  • Paediatric Early Warning Systems (PEWS) have been established for use in acutely unwell children in order to identify the physiological and behavioural signs of deterioration prior to collapse[1]

  • The implementation has been inconsistent with large variation in the PEWS used, the activation criteria used, availability of an Rapid Response Teams (RRTs) and the membership of the RRT

  • 157 hospitals were identified that provided paediatric in patient care. 126 hospitals were classified as a District General Hospital (DGH) and 31 as a tertiary hospital

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Summary

Introduction

Paediatric Early Warning Systems (PEWS) have been established for use in acutely unwell children in order to identify the physiological and behavioural signs of deterioration prior to collapse[1]. These include ward-based systems in both district general and tertiary hospitals and those used in emergency and urgent care departments[2, 3, 4]. A variety of reasons may contribute to this finding which includes poor sensitivity and specificity of the tool, poor completion of observations charts and inadequate educational implementation[8]

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