Rescue Me: Challenges and Solutions to PEWS and RRT Implementation
Jose Munoz, MD, Professor of Pediatrics, Children's Hospital of Richmond at VCU
Summary: Pediatric Early Warning Score (PEWS) and rapid response team (RRT) expedite interventions needed for timely rescue of a child with clinical deterioration. The Children’s Hospital of Richmond at VCU’s project explains building of PEWS into the electronic medical record, creation and implementation of algorithms to guide the appropriate medical or RRT response to high PEWS scores, and overcoming barriers to implementation.
Description: Children’s Hospital of Richmond at VCU initially started a rapid response team (RRT) to facilitate rescue of a deteriorating child, permit rapid escalation of care and prevent arrests outside the PICU. The hospital added Pediatric Early Warning Score (PEWS) to improve recognition of children in need of RRT and escalation. Sequential Plan-Do-Study-Act cycles and added dedicated nursing PEWS band in the emergency medical record, a pop-up for a real-time alert of high PEWS, and active monitoring to report missed RRT and escalation opportunities to allow for analysis and prompt feedback.
1. Overcome barriers to PEWS and RRT (Rapid Response Team) implementation with technology and provider engagement.
2. Implement a PEWS (Pediatric Early Warning System) scoring system in an inpatient setting.
Highlights from this session
- How PEWS allow for real-time feedback and education of teams and individuals
- Staff comments on barriers to responding to a high PEWS