Why the study?
Do Paediatric early warning systems (PEWS) improve the detection and response to clinical deterioration in children?
Do Paediatric early warning systems (PEWS) improve the detection and response to clinical deterioration in children?
Current literature lacks evidence examining Paediatric Early Warning Systems as complex healthcare interventions, indicating a need for broader sociotechnical research.
PEWS use warrants cautious interpretation without complex intervention data; leaves open their real-world effectiveness and supports sociotechnical evaluations.
Despite many studies reporting on the complexity and multifaceted nature of PEWS, no evidence was sourced which examined PEWS as a complex healthcare intervention. Future research needs to investigate PEWS as a complex multifaceted sociotechnical system that is embedded in a wider safety culture influenced by many organisational and human factors. PEWS should be embraced as a part of a larger multifaceted safety framework that will develop and grow over time with strong governance and leadership, targeted training, ongoing support and continuous improvement.
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Lambert et al. (2017) studied this question.
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