2010
DOI: 10.1177/1043454209358410
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Implementation of the Pediatric Early Warning Scoring System on a Pediatric Hematology/Oncology Unit

Abstract: Despite improved outcomes for pediatric Hematology/Oncology patients over the past 15-20 years, sepsis and other acute events continue to cause serious illness in these children. Implementing a pediatric early warning scoring tool (PEWS) with an associated multi-disciplinary action algorithm in a pediatric Hematology/Oncology unit helped to remove barriers that prevented timely referral of children who are clinically deteriorating and requiring immediate help, enhanced multi-disciplinary team communication, an… Show more

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Cited by 32 publications
(37 citation statements)
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“…Overall, the current study data thus highlighted that the resources required to improve the provision of quality health services in clinical settings in LMICs can be offset by savings. Although there is literature regarding the use of PEWS to improve the monitoring of pediatric oncology patients in high-resource settings, 24 and various PEWS have been validated to predict clinical deterioration in hospitalized children with cancer in these settings, 25,26 to our knowledge cost-benefit analyses for PEWS in this patient population are sparse. The observed cost benefit from implementation of PEWS leading to a reduction in PICU use for clinical deterioration is consistent with the, albeit limited, adult and pediatric literature concerning cost analyses of early warning systems in high-resource settings.…”
Section: Discussionmentioning
confidence: 99%
“…Overall, the current study data thus highlighted that the resources required to improve the provision of quality health services in clinical settings in LMICs can be offset by savings. Although there is literature regarding the use of PEWS to improve the monitoring of pediatric oncology patients in high-resource settings, 24 and various PEWS have been validated to predict clinical deterioration in hospitalized children with cancer in these settings, 25,26 to our knowledge cost-benefit analyses for PEWS in this patient population are sparse. The observed cost benefit from implementation of PEWS leading to a reduction in PICU use for clinical deterioration is consistent with the, albeit limited, adult and pediatric literature concerning cost analyses of early warning systems in high-resource settings.…”
Section: Discussionmentioning
confidence: 99%
“…There was one feasibility and reliability testing study, one cost-analysis exercise, one protocol and one course evaluation survey. Of the 90 included papers, 45 focused on PEW detection systems, 2 3 6 7 10 14-53 29 examined PEW response mechanisms 8 54-81 and 16 reported on PEW implementation strategies [82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97] (see online supplementary appendix 2 for a summary of these studies including the level of evidence and rationale for judgement).…”
Section: Characteristics Of Included Studiesmentioning
confidence: 99%
“…There are numerous published PEWS tools which vary in accuracy predicting deterioration; 3,4 some have been successfully validated in multicenter trials, 5 and across various subspecialty populations. [7][8][9] PEWS are widely used in hospitals caring for pediatric oncology patients, 10 and one score has been validated to predict unplanned PICU transfer in hospitalized oncology and hematopoietic stem cell transplant (HSCT) patients. [7][8][9] PEWS are widely used in hospitals caring for pediatric oncology patients, 10 and one score has been validated to predict unplanned PICU transfer in hospitalized oncology and hematopoietic stem cell transplant (HSCT) patients.…”
Section: Introductionmentioning
confidence: 99%