Family Alert: Implementing Direct Family Activation of a Pediatric Rapid Response Team

Ray, Emily; Smith, Rebecca; Massie, Sara; Erickson, Jordan; Hanson, Cherissa C.; Harris, Bradford D.; Willis, Tina Schade

doi:10.1016/s1553-7250(09)35078-3

Cited by 66 publications

(99 citation statements)

References 8 publications

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“…It should be used alongside, rather than instead of, other 'triggers', e.g., symptoms such as chest pain; signs such as diaphoresis; other assessment scores such as the Glasgow Coma Scale; 33 and nurse 32 or family concern. 34 The successful implementation of NEWS will be challenging to organisations and will not in itself necessarily change the outcomes for patients unless all other components of the 'Chain of Prevention' 20 are present, and work efficiently and effectively.…”

Section: Discussionmentioning

confidence: 99%

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

et al. 2013

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Introduction: Early warning scores (EWS) are recommended as part of the early recognition and response to patient deterioration. The Royal College of Physicians recommends the use of a National Early Warning Score (NEWS) for the routine clinical assessment of all adult patients. Methods:We tested the ability of NEWS to discriminate patients at risk of cardiac arrest, unanticipated intensive care unit (ICU) admission or death within 24 hours of a NEWS value and compared its performance to that of 33 other EWSs currently in use, using the area under the receiver-operating characteristics (AUROC) curve and a large vital signs database (n=198,755 observation sets) collected from 35,585 consecutive, completed acute medical admissions.

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Section: Discussionmentioning

confidence: 99%

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

et al. 2013

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“…Results from a recent UK survey highlighted that midwives were in favour of including triggers such as the concern of midwives, patients or their partners/relatives [17]. Such subjective criteria have already been incorporated in paediatric and non-obstetric adult settings [18,19]. This echoes a key theme in the recently published Francis Report into the failings at Mid-Staffordshire NHS Foundation Trust where staff did not always listen to patients', carers' and families' concerns [20].…”

Section: Discussionmentioning

confidence: 99%

A national survey of obstetric early warning systems in the United Kingdom: five years on

et al. 2014

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SummaryThe Confidential Enquiries into Maternal Deaths in the UK have recommended obstetric early warning systems for early identification of clinical deterioration to reduce maternal morbidity and mortality. This survey explored early warning systems currently used by maternity units in the UK. An electronic questionnaire was sent to all 205 lead obstetric anaesthetists under the auspices of the Obstetric Anaesthetists' Association, generating 130 (63%) responses. All respondents reported use of an obstetric early warning system, compared with 19% in a similar survey in 2007. Respondents agreed that the six most important physiological parameters to record were respiratory rate, heart rate, temperature, systolic and diastolic blood pressure and oxygen saturation. One hundred and eighteen (91%) lead anaesthetists agreed that early warning systems helped to prevent obstetric morbidity. Staffing pressures were perceived as the greatest barrier to their use, and improved audit, education and training for healthcare professionals were identified as priority areas.

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“…In addition, the inclusion of a parameter for clinician concern on a trigger chart also needs to be considered (Ray et al 2009) as exclusion may miss the contribution of clinical wisdom and judgement. Another issue not yet addressed is whether EWS are appropriate for each stage of pregnancy and postnatal care.…”

Section: Discussionmentioning

confidence: 99%

A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives

Bick¹,

Sandall²,

Furuta³

et al. 2014

Midwifery

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Objective. To identify the extent to which Early Warning Systems (EWS) are used by midwives in the United Kingdom (UK), the maternity settings they are used in, physiological parameters used to 'trigger' referral, training provision, barriers to implementation and role in preventing maternal morbidity.Design. Cross-sectional survey of heads of midwifery services. An email questionnaire was sent in September 2012.Setting. UK NHS secondary care organisations providing maternity care.

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Family Alert: Implementing Direct Family Activation of a Pediatric Rapid Response Team

Cited by 66 publications

References 8 publications

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

A national survey of obstetric early warning systems in the United Kingdom: five years on

A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives

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