Implementing paediatric early warning scores systems in the Netherlands: future implications
| العنوان: | Implementing paediatric early warning scores systems in the Netherlands: future implications |
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| المؤلفون: | Linda Koopmans, J.F. de Groot, J. Goorhuis, Nikki L. Damen, E. de Loos, L. van de Steeg, M. Bruijn, Cordula Wagner, P. Rosias |
| المساهمون: | Public and occupational health, APH - Quality of Care |
| المصدر: | BMC Pediatrics, Vol 18, Iss 1, Pp 1-10 (2018) BMC Pediatrics BMC Pediatrics, 18(1):128. BioMed Central de Groot, J F, Damen, N, de Loos, E, van de Steeg, L, Koopmans, L, Rosias, P, Bruijn, M, Goorhuis, J & Wagner, C 2018, ' Implementing paediatric early warning scores systems in the Netherlands: Future implications ', BMC Pediatrics, vol. 18, no. 1, 128 . https://doi.org/10.1186/s12887-018-1099-6 |
| بيانات النشر: | BMC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Semi-structured interview, Adult, Male, Quality management, Attitude of Health Personnel, Nursing Staff, Hospital, Hospitals, General, 03 medical and health sciences, Patient safety, 0302 clinical medicine, Clinical Protocols, 030225 pediatrics, Intervention (counseling), Early Medical Intervention, Medicine, Humans, Paediatric early warning score, 030212 general & internal medicine, Pediatricians, Quality improvement, Hospitals, Teaching, Netherlands, Retrospective Studies, Core set, Total quality management, Warning system, business.industry, lcsh:RJ1-570, Retrospective cohort study, lcsh:Pediatrics, Middle Aged, medicine.disease, PEWS, Early Diagnosis, Child, Preschool, Implementation, Pediatrics, Perinatology and Child Health, Female, Medical emergency, business, Research Article |
| الوصف: | Background Paediatric Early Warning Scores (PEWS) are increasingly being used for early identification and management of clinical deterioration in paediatric patients. A PEWS system includes scores, cut-off points and appropriate early intervention. In 2011, The Dutch Ministry of Health advised hospitals to implement a PEWS system in order to improve patient safety in paediatric wards. The objective of this study was to examine the results of implementation of PEWS systems and to gain insight into the attitudes of professionals towards using a PEWS system in Dutch non-university hospitals. Methods Quantitative data were gathered at start, midway and at the end of the implementation period through retrospective patient record review (n = 554). Semi-structured interviews with professionals (n = 8) were used to gain insight in the implementation process and experiences. The interviews were transcribed and analysed using an inductive approach. Results Looking at PEWS systems of the five participating hospitals, different parameters and policies were found. While all hospitals included heart rate and respiratory rate, other variables differed among hospitals. At baseline, none of the hospitals used a PEWS system. After 1 year, PEWS were recorded in 69.2% of the patient records and elevated PEWS resulted in appropriate action in 49.1%. Three themes emerged from the interviews: 1) while the importance of using a PEWS system was acknowledged, professionals voiced some doubts about the effectiveness and validity of their PEWS system 2) registering PEWS required little extra effort and was facilitated by PEWS being integrated into the electronic patient record 3) Without a national PEWS system or guidelines, hospitals found it difficult to identify a suitable PEWS system for their setting. Existing systems were not always considered applicable in a non-university setting. Conclusions After 1 year, hospitals showed improvements in the use of their PEWS system, although some were decidedly more successful than others. Doubts among staff about validity, effectiveness and communication with other hospitals during transfer to higher level care hospital might hinder sustainable implementation. For these purposes the development of a national PEWS system is recommended, consisting of a “core set” of PEWS, cut-off points and associated early intervention. |
| اللغة: | English |
| تدمد: | 1471-2431 |
| DOI: | 10.1186/s12887-018-1099-6 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24e1cec30c8b75d7ba7d47810b8c1587 http://link.springer.com/article/10.1186/s12887-018-1099-6 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....24e1cec30c8b75d7ba7d47810b8c1587 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712431 |
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| DOI: | 10.1186/s12887-018-1099-6 |