Demmel Kathleen M, Williams Lucinda, Flesch Laura
Cincinnati Children's Hospital, OH, USA.
J Pediatr Oncol Nurs. 2010 Jul-Aug;27(4):229-40. doi: 10.1177/1043454209358410. Epub 2010 Feb 26.
Despite improved outcomes for pediatric Hematology/Oncology patients over the past 15-20 years, sepsis and other acute events continue to cause serious illness in these children. Implementing a pediatric early warning scoring tool (PEWS) with an associated multi-disciplinary action algorithm in a pediatric Hematology/Oncology unit helped to remove barriers that prevented timely referral of children who are clinically deteriorating and requiring immediate help, enhanced multi-disciplinary team communication, and has led to a more than 3-fold increase in days between codes on the Hematology/Oncology unit.
尽管在过去15至20年里儿科血液学/肿瘤学患者的治疗结果有所改善，但败血症和其他急性事件仍继续导致这些儿童患上重病。在儿科血液学/肿瘤学病房实施一种带有相关多学科行动算法的儿科早期预警评分工具（PEWS），有助于消除阻碍及时转诊临床病情恶化且需要立即救助儿童的障碍，加强多学科团队沟通，并使血液学/肿瘤学病房两次急救事件之间的天数增加了三倍多。
