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Journal article
Feasibility and acceptability of implementing an evidence-based ESCALATION system for paediatric clinical deterioration
Pediatric research
2024
PMID: 39134760
Abstract
Background
The ESCALATION system is a novel paediatric Early Warning System that incorporates family involvement and sepsis recognition. This study aimed to assess the feasibility and iteratively refine the ESCALATION system in a variety of hospital settings in preparation for full-service implementation.
Methods
A series of four multi-methods studies using an Implementation Science and co-design approach were conducted. We examined concepts of implementation, context, and mechanisms of action across a variety of hospitals. Data collected included practice and chart audits, surveys (health professionals), interviews (families) and focus groups (health professionals). Quantitative data were analysed descriptively with qualitative findings assessed by content analysis or thematic analysis.
Results
There were 650 audits (Study I–IV), 205 health professional survey responses (Study I), 154 health professionals participated in focus groups (Study II–IV), 13 parents of hospitalised children interviewed (Study I), and 107 parents reported their involvement in the ESCALATION system (Study III–IV). Each of the studies further refined and confirmed the feasibility, specifically the components of family involvement and the sepsis recognition pathway.
Conclusion
The Implementation Science evaluation of the ESCALATION system resulted in a uniform approach that was feasible and acceptable to users and appropriate for full-service implementation.
Details
- Title
- Feasibility and acceptability of implementing an evidence-based ESCALATION system for paediatric clinical deterioration
- Authors/Creators
- Fenella Gill (Author) - Curtin UniversityAlannah Cooper (Author)Pania Falconer (Author) - Princess Margaret Hospital for ChildrenScott Stokes (Author) - Environs KimberleyAlison G. Roberts (Author) - Princess Margaret Hospital for ChildrenMatthew Szabo (Author)Gavin D Leslie (Author) - Curtin University
- Publication Details
- Pediatric research
- Publisher
- Springer Nature
- Number of pages
- 11
- Grant note
This work was supported by a 2018 West Australian Health Translation Network and Curtin University Fellowship in Research Translation. Open Access funding enabled and organized by CAUL and its Member Institutions.
- Identifiers
- 991005707266207891
- Copyright
- © The Author(s) 2024
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
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- 1.154.1088 Intensive Care
- Web Of Science research areas
- Pediatrics
- ESI research areas
- Clinical Medicine