Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands
Introduction Early recognition of clinical deterioration and timely intervention are important to improve morbidity and mortality in paediatric care. The Paediatric Early Warning Score (PEWS) is a scoring system aiming to identify hospitalised children at risk for deterioration. Currently, there is...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-02-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/8/1/e002214.full |
| _version_ | 1797321194102325248 |
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| author | Hester Rippen Jikke Stevens Janke de Groot Marie Luijmes Janneke Bouwens Janneke Hoogervorst-Schilp Joris Fuijkschot |
| author_facet | Hester Rippen Jikke Stevens Janke de Groot Marie Luijmes Janneke Bouwens Janneke Hoogervorst-Schilp Joris Fuijkschot |
| author_sort | Hester Rippen |
| collection | DOAJ |
| description | Introduction Early recognition of clinical deterioration and timely intervention are important to improve morbidity and mortality in paediatric care. The Paediatric Early Warning Score (PEWS) is a scoring system aiming to identify hospitalised children at risk for deterioration. Currently, there is a large heterogeneity of PEWS systems in the Netherlands, with a considerable number remaining unvalidated or self-designed. Therefore, a consensus-based Dutch PEWS has been developed in a national study using the Core Outcome Measures in Effectiveness Trials initiative. The Dutch PEWS is a uniform system that integrates a core set of vital parameters together with pre-existing risk factors and uses risk stratification to proactively follow-up on patients at risk (so-called ‘watcher patients’). This study aims to validate the Dutch PEWS and to determine its impact on improving patient safety in various hospital settings.Methods and analysis This national study will be a large multicentre evaluation study, in which the Dutch PEWS will be implemented and evaluated in 12 hospitals in the Netherlands. In this study, a mixed methods methodology will be used and evaluated on predefined outcome measures. To examine the validity of the Dutch PEWS, statistical analyses will be undertaken on quantitative data retrieved from electronic health records. Surveys among physicians and nurses; semistructured interviews with healthcare providers and parents; and daily evaluation forms are being conducted to determine the impact of the Dutch PEWS. The study is being conducted from December 2020 to June 2024. |
| first_indexed | 2024-03-08T04:55:02Z |
| format | Article |
| id | doaj.art-e4c6014eb8f24831ad685e14816d3aeb |
| institution | Directory Open Access Journal |
| issn | 2399-9772 |
| language | English |
| last_indexed | 2024-03-08T04:55:02Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj.art-e4c6014eb8f24831ad685e14816d3aeb2024-02-07T17:50:08ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722024-02-018110.1136/bmjpo-2023-002214Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the NetherlandsHester Rippen0Jikke Stevens1Janke de Groot2Marie Luijmes3Janneke Bouwens4Janneke Hoogervorst-Schilp5Joris Fuijkschot6Child and Hospital Foundation (Stichting Kind en Ziekenhuis), Utrecht, The NetherlandsPediatrics, Radboudumc, Nijmegen, Gelderland, The NetherlandsKennisinstituut van de Federatie Medisch Specialisten, Utrecht, The NetherlandsPediatrics, Radboudumc, Nijmegen, Gelderland, The NetherlandsPediatrics, Radboudumc, Nijmegen, Gelderland, The NetherlandsKennisinstituut van de Federatie Medisch Specialisten, Utrecht, The NetherlandsPediatrics, Radboudumc, Nijmegen, Gelderland, The NetherlandsIntroduction Early recognition of clinical deterioration and timely intervention are important to improve morbidity and mortality in paediatric care. The Paediatric Early Warning Score (PEWS) is a scoring system aiming to identify hospitalised children at risk for deterioration. Currently, there is a large heterogeneity of PEWS systems in the Netherlands, with a considerable number remaining unvalidated or self-designed. Therefore, a consensus-based Dutch PEWS has been developed in a national study using the Core Outcome Measures in Effectiveness Trials initiative. The Dutch PEWS is a uniform system that integrates a core set of vital parameters together with pre-existing risk factors and uses risk stratification to proactively follow-up on patients at risk (so-called ‘watcher patients’). This study aims to validate the Dutch PEWS and to determine its impact on improving patient safety in various hospital settings.Methods and analysis This national study will be a large multicentre evaluation study, in which the Dutch PEWS will be implemented and evaluated in 12 hospitals in the Netherlands. In this study, a mixed methods methodology will be used and evaluated on predefined outcome measures. To examine the validity of the Dutch PEWS, statistical analyses will be undertaken on quantitative data retrieved from electronic health records. Surveys among physicians and nurses; semistructured interviews with healthcare providers and parents; and daily evaluation forms are being conducted to determine the impact of the Dutch PEWS. The study is being conducted from December 2020 to June 2024.https://bmjpaedsopen.bmj.com/content/8/1/e002214.full |
| spellingShingle | Hester Rippen Jikke Stevens Janke de Groot Marie Luijmes Janneke Bouwens Janneke Hoogervorst-Schilp Joris Fuijkschot Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands BMJ Paediatrics Open |
| title | Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands |
| title_full | Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands |
| title_fullStr | Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands |
| title_full_unstemmed | Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands |
| title_short | Study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the Dutch Paediatric Early Warning Score (PEWS) in the Netherlands |
| title_sort | study protocol of a national multicentre prospective evaluation study assessing the validity and impact of the dutch paediatric early warning score pews in the netherlands |
| url | https://bmjpaedsopen.bmj.com/content/8/1/e002214.full |
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