Essay on The Effects Of Using Paediatric Early Warning Scores

Essay on The Effects Of Using Paediatric Early Warning Scores

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Ma. Joy Ariane I. de los Santos Student ID # 215227035
Annotated Bibliography (1205 words)

This article is about the outcomes of utilizing a systematic process of documentation of vital signs and staff communication with regards to deteriorating peadiatric patients. The authors Mckay H, et al. (2013) evaluate the effects of using Paediatric Early Warning Scores (PEWS) on the frequency of documentation of vital signs and communication between health professionals in association with deteriorating paediatric patients. The purpose of the study is to identify the patients at risk of adverse effects due to physiological instability particularly, acute critically ill paediatric patients. In addition, to determine the health workers perception of abnormal vital signs and their level of confidence in assessing a deteriorating child. A prospective study design was made by controlled before-and-after intervention trial to compare the results. Multifaceted approach was facilitated such as utilizing a newly designed age-specific ward observation charts, paedriatic track and trigger system and an associated education program. During the pre-intervention and post-intervention period, there was no differences established in hospital mortality, medical emergency team (MET) reviews or unplanned admissions to critical care areas. Increase in daily frequency of documentation of respiratory rate, capillary refill time, blood pressure, level of consciousness and appropriate communication concerning patient status was determined by the rise in the median of the post-intervention group. As a result, there was a significant decrease in the instances of paediatric children meeting the medical emergency team criteria. This simple multifaceted intervention...


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...e in the patient’s health status.






References:
Mckay, H, Mitchell, I, Sinn, K, Mugridge, H, Lafferty, T, Van Leuvan, C, Mamootil, S, & Abdel-Latif, M 2013, ‘Effect of a multifaceted intervention on documentation of vital signs and staff communication regarding deteriorating paediatric patients’, Journal Of Paediatrics And Child Health, 49, 1, pp. 48-56, MEDLINE Complete, EBSCOhost, viewed 12 July 2015

Parham, G 2012, ‘Recognition and response to the clinically deteriorating patient’, Australian Medical Student Journal, 3, 1, pp. 18-22, Academic Search Complete, EBSCOhost, viewed 11 July 2015.

Preece, M, Hill, A, Horswill, M, & Watson, M 2012,’Clinical Paper: Supporting the detection of patient deterioration: Observation chart design affects the recognition of abnormal vital signs’, Resuscitation, 83, pp. 1111-1118, ScienceDirect, EBSOhost, viewed 12 July 2015.

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