Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, University of Leicester, , Leicester, Leics, UK.
Arch Dis Child. 2014 Jan;99(1):26-9. doi: 10.1136/archdischild-2012-302783. Epub 2013 Aug 30.
To determine the use of paediatric early warning systems (PEWS) and rapid response teams (RRTs) in paediatric units in Great Britain.
Cross sectional survey.
All hospitals with inpatient paediatric services in Great Britain.
Proportion of units using PEWS, origin of PEWS used, criterion included in PEWS, proportion of units with an RRT and membership of RRT.
The response rate was 95% (149/157). 85% of units were using PEWS and 18% had an RRT in place. Tertiary units were more likely than district general hospital to have implemented PEWS, 90% versus 83%, and an RRT, 52% versus 10%. A large number of PEWS were in use, the majority of which were unpublished and unvalidated systems.
Despite the inconclusive evidence of effectiveness, the use of PEWS has increased since 2005. The implementation has been inconsistent with large variation in the PEWS used, the activation criteria used, availability of an RRT and the membership of the RRT. There must be a coordinated national evaluation of the implementation, impact and effectiveness of a standardised PEWS programme in the various environments where acutely sick children are managed.
确定英国儿科病房中使用儿科预警系统（PEWS）和快速反应小组（RRT）的情况。
横断面调查。
英国所有有住院儿科服务的医院。
使用 PEWS 的单位比例、使用的 PEWS 来源、PEWS 中包含的标准、有 RRT 的单位比例以及 RRT 的成员组成。
应答率为 95%（149/157）。85%的单位使用 PEWS，18%的单位设有 RRT。三级医院比地区综合医院更有可能实施 PEWS，分别为 90%和 83%，以及 RRT，分别为 52%和 10%。大量的 PEWS 在使用，其中大多数是未发表和未经验证的系统。
尽管有效性的证据尚无定论，但自 2005 年以来，PEWS 的使用有所增加。实施情况不一致，使用的 PEWS 差异很大，使用的激活标准、RRT 的可用性以及 RRT 的成员组成也存在差异。必须在管理急性病儿童的各种环境中，对标准化 PEWS 计划的实施、影响和有效性进行协调一致的全国性评估。
