Paediatric early warning scores on a children’s ward: a quality improvement initiative
Intended for healthcare professionals
Art & Science Previous     Next

Paediatric early warning scores on a children’s ward: a quality improvement initiative

Linda Ennis Senior clinical nurse manager in neonatal intensive care and paediatric services, University Hospital Waterford, Ireland

Linda Ennis discusses the implementation and evaluation of a track and trigger system to improve the care, referral and outcomes for acutely ill young patients

The aim of this quality improvement initiative was to incorporate a paediatric early warning score (PEWS) and track and trigger system in the routine care of children in an acute general children’s ward at a regional hospital in the Republic of Ireland. In the absence of a nationally recommended specific PEWS strategy, a local plan was developed. The experience of structuring and implementing the PEWS and track and trigger system is presented in this article. Data from the first year of use were collected to evaluate the clinical utility and effectiveness of this system. In the busy acute children’s service, the PEWS initiative was found to benefit processes of early detection, prompt referral and timely, appropriate management of children at potential risk of clinical deterioration. Nursing staff were empowered and supported to communicate concerns immediately and to seek rapid medical review, according to an agreed PEWS escalation plan. Outcomes were significantly improved.

Nursing Children and Young People. 26, 7, 25-31. doi: 10.7748/ncyp.26.7.25.e478

Correspondence

linda.ennis@hse.ie

Peer review

This article has been subject to open peer review and checked using antiplagiarism software

Conflict of interest

None declared

Received: 04 November 2013

Accepted: 02 April 2014

Want to read more?

Already subscribed? Log in

OR

Unlock full access to RCNi Plus today

Save over 50% on your first 3 months

Your subscription package includes:
  • Unlimited online access to all 10 RCNi Journals and their archives
  • Customisable dashboard featuring 200+ topics
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests
Subscribe
RCN student member? Try Nursing Standard Student

Alternatively, you can purchase access to this article for the next seven days. Buy now

Or