Early Warning Systems for Hospitalized Pediatric Patients

Early Warning Systems for Hospitalized Pediatric Patients Opinion EDITORIAL Neil A. Halpern, MD, MCCM Physicians and other health care practitioners have been They compared the outcomes at 10 BedsidePEWS hospitals hopeful that computerized early warning systems (using vs usual care at 11 control hospitals. The study targeted pedi- data elements gleaned from the hospital’s electronic med- atric inpatients treated in pediatric wards (excluding ICUs or high-intensity units) and included infants (aged >37 gesta- ical record, bedside vital signs, or both, in conjunc- tional weeks) to adolescents (aged ≤18 years). Related article page 1002 tion with enhanced educa- After analyzing 144 539 hospital discharges repre- tion, monitoring, and re- senting 559 443 patient-days, the authors found that the sponse) would aid in identifying patients at risk of clinical BedsidePEWS intervention did not significantly decrease deterioration prior to bedside recognition by clinicians. all-cause hospital mortality (1.93 deaths per 1000 hospital The ultimate goal for early warning systems is a rapid discharges at BedsidePEWS hospitals vs 1.56 deaths per clinical response to the patient’s newly identified needs 1000 hospital discharges at usual care hospitals; adjusted with demonstrable improvements in both the processes between-group rate difference, 0.01 [95% CI, −0.80 to 0.81] of care and patient outcomes. An early warning http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Early Warning Systems for Hospitalized Pediatric Patients

JAMA , Volume 319 (10) – Mar 13, 2018
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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
D.O.I.
10.1001/jama.2018.1524
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Neil A. Halpern, MD, MCCM Physicians and other health care practitioners have been They compared the outcomes at 10 BedsidePEWS hospitals hopeful that computerized early warning systems (using vs usual care at 11 control hospitals. The study targeted pedi- data elements gleaned from the hospital’s electronic med- atric inpatients treated in pediatric wards (excluding ICUs or high-intensity units) and included infants (aged >37 gesta- ical record, bedside vital signs, or both, in conjunc- tional weeks) to adolescents (aged ≤18 years). Related article page 1002 tion with enhanced educa- After analyzing 144 539 hospital discharges repre- tion, monitoring, and re- senting 559 443 patient-days, the authors found that the sponse) would aid in identifying patients at risk of clinical BedsidePEWS intervention did not significantly decrease deterioration prior to bedside recognition by clinicians. all-cause hospital mortality (1.93 deaths per 1000 hospital The ultimate goal for early warning systems is a rapid discharges at BedsidePEWS hospitals vs 1.56 deaths per clinical response to the patient’s newly identified needs 1000 hospital discharges at usual care hospitals; adjusted with demonstrable improvements in both the processes between-group rate difference, 0.01 [95% CI, −0.80 to 0.81] of care and patient outcomes. An early warning

Journal

JAMAAmerican Medical Association

Published: Mar 13, 2018

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