Feasibility and acceptability of implementing an evidence-based ESCALATION system for paediatric clinical deterioration.

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.

Using clinical simulation to assess a new paediatric ESCALATION system education package: Empirical research mixed methods.

Aim: The aim of the study was to assess the suitability of an online education package to prepare health professionals to use a new paediatric early warning system.

Design: Quasi-experimental mixed methods using co-production.

Methods: Participants completed the Package and participated in up to four clinical scenarios.

Development of an evidence-based ESCALATION system for recognition and response to paediatric clinical deterioration.

Aim: The aim of this study was to develop an evidence-based paediatric early warning system for infants and children that takes into consideration a variety of paediatric healthcare contexts and addresses barriers to escalation of care.

Methods: A three-stage intervention development framework consisted of Stage 1: evidence review, benchmarking, stakeholder (health professionals, decision-makers, and health consumers) engagement, and consultation; Stage 2: planning and coproduction by the researchers and stakeholders using action research cycles; and Stage 3: prototyping and testing.

Results: A prototype evidence-based system incorporated human factor principles, used a structured approach to patient assessment, promoted situational awareness, and included family as well as clinician concern.