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dc.contributor.authorGill, Fenella
dc.contributor.authorCooper, Alannah
dc.contributor.authorFalconer, Pania
dc.contributor.authorStokes, S.
dc.contributor.authorLeslie, Gavin
dc.date.accessioned2023-05-30T04:37:30Z
dc.date.available2023-05-30T04:37:30Z
dc.date.issued2021
dc.identifier.citationGill, F.J. and Cooper, A. and Falconer, P. and Stokes, S. and Leslie, G.D. 2021. Development of an evidence-based ESCALATION system for recognition and response to paediatric clinical deterioration. Australian Critical Care. 35 (6): pp. 668-676.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/92267
dc.identifier.doi10.1016/j.aucc.2021.09.004
dc.description.abstract

Aim: The aim of this study was to develop an evidence-based paediatric early warning system for infants and children that takes into consideration a variety of paediatric healthcare contexts and addresses barriers to escalation of care. Methods: A three-stage intervention development framework consisted of Stage 1: evidence review, benchmarking, stakeholder (health professionals, decision-makers, and health consumers) engagement, and consultation; Stage 2: planning and coproduction by the researchers and stakeholders using action research cycles; and Stage 3: prototyping and testing. Results: A prototype evidence-based system incorporated human factor principles, used a structured approach to patient assessment, promoted situational awareness, and included family as well as clinician concern. Family involvement in detecting changes in their child's condition was supported by posters and flyers codesigned with health consumers. Five age-specific observation and response charts included 10 weighted variables and one unweighted variable (temperature) to convey a composite early warning score. The escalation pathway was supported by a targeted communication framework (iSoBAR NOW). Conclusion: The development process resulted in an agreed uniform ESCALATION system incorporating a whole-system approach to promote critical thinking, situational awareness for the early recognition of paediatric clinical deterioration as well as timely and effective escalation of care. Incorporating family involvement was a novel component of the system.

dc.languageEnglish
dc.publisherELSEVIER SCIENCE INC
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectCritical Care Medicine
dc.subjectNursing
dc.subjectGeneral & Internal Medicine
dc.subjectIntervention development
dc.subjectClinical deterioration
dc.subjectPaediatric
dc.subjectEarly warning system
dc.subjectEarly warning score
dc.subjectSCORE
dc.subjectACTIVATION
dc.subjectBARRIERS
dc.subjectHANDOVER
dc.subjectTRACK
dc.subjectClinical deterioration
dc.subjectEarly warning score
dc.subjectEarly warning system
dc.subjectIntervention development
dc.subjectPaediatric
dc.subjectInfant
dc.subjectChild
dc.subjectHumans
dc.subjectClinical Deterioration
dc.subjectCommunication
dc.subjectHealth Personnel
dc.subjectAwareness
dc.subjectHumans
dc.subjectCommunication
dc.subjectAwareness
dc.subjectChild
dc.subjectInfant
dc.subjectHealth Personnel
dc.subjectClinical Deterioration
dc.titleDevelopment of an evidence-based ESCALATION system for recognition and response to paediatric clinical deterioration
dc.typeJournal Article
dcterms.source.volume35
dcterms.source.number6
dcterms.source.startPage668
dcterms.source.endPage676
dcterms.source.issn1036-7314
dcterms.source.titleAustralian Critical Care
dc.date.updated2023-05-30T04:37:30Z
curtin.departmentCurtin School of Nursing
curtin.accessStatusFulltext not available
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidLeslie, Gavin [0000-0001-8939-9801]
curtin.contributor.orcidGill, Fenella [0000-0003-4697-9640]
curtin.contributor.orcidCooper, Alannah [0000-0002-4009-9792]
curtin.contributor.orcidFalconer, Pania [0000-0003-2393-8221]
curtin.contributor.researcheridGill, Fenella [O-5572-2018]
dcterms.source.eissn1878-1721
curtin.contributor.scopusauthoridLeslie, Gavin [8744839600]
curtin.contributor.scopusauthoridGill, Fenella [55164881900]
curtin.contributor.scopusauthoridCooper, Alannah [57193755306]
curtin.repositoryagreementV3


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