The following outlines crucial factors for the implementation of Paediatric Early Warning Scores (taken from the presentation „Recognising and responding to deterioration in children – what do we know?“ by Sue Chapman, NHS III, 2010.
1. Local leadership
- Executive support
- Clinical champions
- Deteriorating patient steering group?
- Protected time
2. Effective implementation
- Model for improvement
- How much
- By when
- By whom
- Small scale tests of change
- Spread and sustainability
- Engaging and motivating staff
- Policies and procedures
- Staff training – Nurses, doctors and other frontline staff
- Who? When? Where?
- Simulation and e-learning can be used to support training
4. Ongoing evaluation
- Evaluation and feedback strategy
- Ongoing responsibility
- Continuous monitoring
- process, outcome and balancing measures
- Safety and incident reports
- Failure to rescue, M & M and case reports
A human factors approach should be taken into consideration, e.g. factors influencing human performance and human error.