How do we detect and respond to clinical deterioration in hospitalized children? Results of the Pediatric Care BefOre Deterioration Events (CODE) survey. J Hosp Med 2023 Dec;18(12):1102-1108
Date
10/20/2023Pubmed ID
37861210Pubmed Central ID
PMC12444532DOI
10.1002/jhm.13224Scopus ID
2-s2.0-85174386529 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
Systems to detect and respond to deteriorating hospitalized children are common despite little evidence supporting best practices. Our objective was to describe systems to detect/respond to deteriorating hospitalized children at Pediatric Resuscitation Quality Collaborative (pediRES-Q) institutions. We performed a cross-sectional survey of pediRES-Q leaders. Questionnaire design utilized expert validation and cognitive interviews. Thirty centers (88%) responded. Most (93%) used ≥1 system to detect deterioration: most commonly, early warning scores (83%), watcher lists (55%), and proactive surveillance teams (31%). Most (90%) had a team to respond to deteriorating patients and the majority of teams could be activated by clinician or family concerns. Most institutions (90%) collect relevant data, including number of rapid responses (88%), arrests outside intensive care units (100%), and serious safety events (88%). In conclusion, most pediRES-Q institutions utilize systems to detect/respond to deteriorating hospitalized children. Heterogeneity exists among programs. Rigorous evaluation is needed to identify best practices.
Author List
O'Halloran A, Lockwood J, Sosa T, Gawronski O, Nadkarni V, Kleinman M, Dewan M, pediRES-Q InvestigatorsAuthor
Andrea Maxwell MD, MPH Assistant Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChild, Hospitalized
Clinical Deterioration
Cross-Sectional Studies
Humans
Intensive Care Units, Pediatric
Surveys and Questionnaires
