欧洲儿科预警系统调查,以及用于帮助识别和应对医院病房儿童病情恶化的其他程序。

IF 3 3区 医学 Q1 NURSING Nursing in Critical Care Pub Date : 2024-11-01 Epub Date: 2024-06-12 DOI:10.1111/nicc.13096
Orsola Gawronski, George Briassoulis, Ziad El Ghannudi, Stavroula Ilia, María Sánchez-Martín, Fabrizio Chiusolo, Claus Sixtus Jensen, Joseph C Manning, Frederic V Valla, Carmen Pavelescu, Immacolata Dall'Oglio, Jane Coad, Gerri Sefton
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引用次数: 0

摘要

背景:在国际上,使用快速反应系统(RRS)来稳定住院病人病情恶化的趋势日益明显。尽管证据基础不断增加,但人们对欧洲各地医院帮助早期识别和应对病情恶化儿童的程序的了解仍然有限:研究设计:研究设计:2021 年 9 月至 2022 年 3 月期间,对有儿科住院病人的欧洲医院进行了一项横断面机会性多中心研究,采用描述性自我报告的网络调查方式。抽样方法是通过欧洲和国家学会成员,在国家领导的带领下进行连锁转介。调查工具改编自澳大利亚的识别和响应系统调查。研究获得了伦理批准。对欧洲地区的结果进行了描述性分析和卡方检验:共收到来自 21 个欧洲国家的 185 份问卷。大多数受访者(n = 153,83%)表示已制定了有关生理观察测量的书面政策、协议或指南。超过半数(n = 120,65%)的受访者称其医院使用儿科预警系统(PEWS),75(41%)的受访者称其医院拥有快速反应小组(RRT)。约有三分之一(38%)的医院表示收集了有关快速反应小组有效性的具体数据,100 家医院(54%)表示定期提供培训和教育以支持快速反应小组的工作。欧洲地区在PEWS利用率方面存在差异(北部=98%,中部=25%,南部=44%,P结论:欧洲医院的 RRS 实践各不相同。欧洲各国在采用 PEWS 和 RRS 流程评估方面存在差异:对临床实践的意义:在欧洲范围内对病情恶化的住院儿童进行安全监测和管理的做法非常重要。为减少实践中的差异,儿科和重症监护协会认可的共识声明可提供指导和资源,以支持 PEWS 的实施和持续质量改进所需的运营管理。
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European survey on Paediatric Early Warning Systems, and other processes used to aid the recognition and response to children's deterioration on hospital wards.

Background: Internationally, there is an increasing trend in using Rapid Response Systems (RRS) to stabilize in-patient deterioration. Despite a growing evidence base, there remains limited understanding of the processes in place to aid the early recognition and response to deteriorating children in hospitals across Europe.

Aim: To describe the processes in place for early recognition and response to in-patient deterioration in children in European hospitals.

Study design: A cross-sectional opportunistic multi-centre European study, of hospitals with paediatric in-patients, using a descriptive self-reported, web-based survey, was conducted between September 2021 and March 2022. The sampling method used chain referral through members of European and national societies, led by country leads. The survey instrument was an adaptation to the survey of Recognition and Response Systems in Australia. The study received ethics approval. Descriptive analysis and Chi-squared tests were performed to compare results in European regions.

Results: A total of 185 questionnaires from 21 European countries were received. The majority of respondents (n = 153, 83%) reported having written policies, protocols, or guidelines, regarding the measurement of physiological observations. Over half (n = 120, 65%) reported that their hospital uses a Paediatric Early Warning System (PEWS) and 75 (41%) reported having a Rapid Response Team (RRT). Approximately one-third (38%) reported that their hospital collects specific data about the effectiveness of their RRS, while 100 (54%) reported providing regular training and education to support it. European regional differences existed in PEWS utilization (North = 98%, Centre = 25%, South = 44%, p < .001) and process evaluation (North = 49%, Centre = 6%, South = 36%, p < .001).

Conclusions: RRS practices in European hospitals are heterogeneous. Differences in the uptake of PEWS and RRS process evaluation emerged across Europe.

Relevance to clinical practice: It is important to scope practices for the safe monitoring and management of deteriorating children in hospital across Europe. To reduce variance in practice, a consensus statement endorsed by paediatric and intensive care societies could provide guidance and resources to support PEWS implementation and for the operational governance required for continuous quality improvement.

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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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