Beyond statistical prediction: Qualitative evaluation of the mechanisms by which pediatric early warning scores impact patient safety

Journal of Hospital Medicine

Volumn 8, Issue 5, 2013, Pages 248-253

  Bonafide, Christopher P ^a,b,c   Roberts, Kathryn E ^a   Weirich, Christine M ^a   Paciotti, Breah ^c   Tibbetts, Kathleen M ^a,d   Keren, Ron ^a,b,c   Barg, Frances K ^b,c   Holmes, John H ^b,c  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d GfK Healthcare   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CONTROLLED STUDY; DETERIORATION; EARLY WARNING SCORE; FEMALE; GROUNDED THEORY; HUMAN; MALE; PATIENT SAFETY; PRIORITY JOURNAL; QUALITATIVE RESEARCH; RAPID RESPONSE TEAM; SCORING SYSTEM; SEMI STRUCTURED INTERVIEW; THEMATIC ANALYSIS; VITAL SIGN;

CARDIOPULMONARY RESUSCITATION; FEMALE; HOSPITAL RAPID RESPONSE TEAM; HOSPITALS, PEDIATRIC; HUMANS; MALE; NURSES; PATIENT SAFETY; PHYSICIANS; PILOT PROJECTS; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; TIME FACTORS;

EID: 84877656597     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.2026     Document Type: Article

References (28)

1. Institute for Healthcare Improvement. Overview of the Institute for Healthcare Improvement Five Million Lives Campaign. Available at: http://www.ihi.org/offerings/Initiatives/PastStrategicInitiatives/5MillionLivesCampaign/Pages/default.aspx. Accessed June 21, 2012.
2. UK National Institute for Health and Clinical Excellence (NICE). Acutely Ill Patients in Hospital: Recognition of and Response to Acute Illness in Adults in Hospital. Available at: http://publications.nice.org.uk/acutely-ill-patients-in-hospital-cg50. Published July 2007. Accessed June 21, 2012.
3. DeVita MA, Bellomo R, Hillman K, et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006; 34(9):2463-2478.
4. Monaghan A. Detecting and managing deterioration in children. Paediatr Nurs. 2005;17(1):32-35.
5. Akre M, Finkelstein M, Erickson M, Liu M, Vanderbilt L, Billman G. Sensitivity of the Pediatric Early Warning Score to identify patient deterioration. Pediatrics. 2010;125(4):e763-e769.
6. Haines C, Perrott M, Weir P. Promoting care for acutely ill children-development and evaluation of a paediatric early warning tool. Intensive Crit Care Nurs. 2006;22(2):73-81.
7. Edwards ED, Powell CV, Mason BW, Oliver A. Prospective cohort study to test the predictability of the Cardiff and Vale paediatric early warning system. Arch Dis Child. 2009;94(8):602-606.
8. Duncan H, Hutchison J, Parshuram CS. The Pediatric Early Warning System Score: a severity of illness score to predict urgent medical need in hospitalized children. J Crit Care. 2006;21(3):271-278.
9. Parshuram CS, Hutchison J, Middaugh K. Development and initial validation of the Bedside Paediatric Early Warning System score. Crit Care. 2009;13(4):R135.
10. Parshuram CS, Duncan HP, Joffe AR, et al. Multi-centre validation of the Bedside Paediatric Early Warning System Score: a severity of illness score to detect evolving critical illness in hospitalized children. Crit Care. 2011;15(4):R184.
11. Tibballs J, Kinney S. Evaluation of a paediatric early warning tool-claims unsubstantiated. Intensive Crit Care Nurs. 2006;22(6):315-316.
12. Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and optimizing rapid response systems. Pediatrics. 2012;129(4):e874-e881.
13. Kotsakis A, Lobos AT, Parshuram C, et al. Implementation of a multicenter rapid response system in pediatric academic hospitals is effective. Pediatrics. 2011;128(1):72-78.
14. Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Rapid response teams: a systematic review and meta-analysis. Arch Intern Med. 2010;170(1):18-26.
15. Brilli RJ, Gibson R, Luria JW, et al. Implementation of a medical emergency team in a large pediatric teaching hospital prevents respiratory and cardiopulmonary arrests outside the intensive care unit. Pediatr Crit Care Med. 2007;8(3):236-246.
16. Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. Arch Pediatr Adolesc Med. 2008;162(2):117-122.
17. Sharek PJ, Parast LM, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children's hospital. JAMA. 2007;298(19):2267-2274.
18. Tibballs J, Kinney S. Reduction of hospital mortality and of preventable cardiac arrest and death on introduction of a pediatric medical emergency team. Pediatr Crit Care Med. 2009;10(3):306-312.
19. Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
20. Guest G, Bunce A, Johnson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18(1):59-82.
21. Kelle U. Different approaches in grounded theory. In: Bryant A, Charmaz K, eds. The Sage Handbook of Grounded Theory. Los Angeles, CA: Sage; 2007:191-213.
22. Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. New York, NY: Aldine De Gruyter; 1967.
23. Andrews T, Waterman H. Packaging: a grounded theory of how to report physiological deterioration effectively. J Adv Nurs. 2005;52(5):473-481.
24. Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):135-144.
25. McDonnell A, Tod A, Bray K, Bainbridge D, Adsetts D, Walters S. A before and after study assessing the impact of a new model for recognizing and responding to early signs of deterioration in an acute hospital. J Adv Nurs. 2013;69(1):41-52.
26. Mackintosh N, Sandall J. Overcoming gendered and professional hierarchies in order to facilitate escalation of care in emergency situations: the role of standardised communication protocols. Soc Sci Med. 2010;71(9):1683-1686.
27. Benin AL, Borgstrom CP, Jenq GY, Roumanis SA, Horwitz LI. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-398.
28. Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. Leading successful rapid response teams: a multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-181.