Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom.
Department of Social Sciences, University of West of England, Bristol, United Kingdom.
PLoS One. 2022 Sep 15;17(9):e0273666. doi: 10.1371/journal.pone.0273666. eCollection 2022.
Paediatric early warning systems (PEWS) are a means of tracking physiological state and alerting healthcare professionals about signs of deterioration, triggering a clinical review and/or escalation of care of children. A proactive end-to-end deterioration solution (the DETECT surveillance system) with an embedded e-PEWS that included sepsis screening was introduced across a tertiary children's hospital. One component of the implementation programme was a sub-study to determine an understanding of the DETECT e-PEWS in terms of its clinical utility and its acceptability.
This study aimed to examine how parents and health professionals view and engage with the DETECT e-PEWS apps, with a particular focus on its clinical utility and its acceptability.
A prospective, closed (tick box or sliding scale) and open (text based) question, e-survey of parents (n = 137) and health professionals (n = 151) with experience of DETECT e-PEWS. Data were collected between February 2020 and February 2021.
Quantitative data were analysed using descriptive and inferential statistics and qualitative data with generic thematic analysis. Overall, both clinical utility and acceptability (across seven constructs) were high across both stakeholder groups although some challenges to utility (e.g., sensitivity of triggers within specific patient populations) and acceptability (e.g., burden related to having to carry extra technology) were identified.
Despite the multifaceted nature of the intervention and the complexity of implementation across a hospital, the system demonstrated clinical utility and acceptability across two key groups of stakeholders: parents and health professionals.
儿科早期预警系统（PEWS）是一种跟踪生理状态并提醒医护人员注意恶化迹象的方法，可触发临床审查和/或儿童护理升级。一种主动的端到端恶化解决方案（DETECT 监测系统），具有嵌入式电子 PEWS，包括脓毒症筛查，已在一家三级儿童医院中引入。实施计划的一个组成部分是一项子研究，旨在确定 DETECT 电子 PEWS 在其临床实用性和可接受性方面的理解。
本研究旨在检查父母和卫生专业人员如何看待和使用 DETECT 电子 PEWS 应用程序，特别关注其临床实用性和可接受性。
对有 DETECT 电子 PEWS 经验的父母（n=137）和卫生专业人员（n=151）进行前瞻性、封闭式（勾选框或滑动量表）和开放式（基于文本）电子调查。数据收集于 2020 年 2 月至 2021 年 2 月之间。
使用描述性和推断性统计数据对定量数据进行分析，使用通用主题分析对定性数据进行分析。总体而言，两个利益相关者群体都对临床实用性和可接受性（跨越七个结构）评价较高，尽管在实用性（例如，特定患者群体中触发的敏感性）和可接受性（例如，携带额外技术的负担）方面存在一些挑战。
尽管干预措施具有多方面的性质，并且在整个医院实施过程中存在复杂性，但该系统在两个关键利益相关者群体（父母和卫生专业人员）中表现出了临床实用性和可接受性。
