Volume 40 Supplement 1

70th Congress of the Italian Society of Pediatrics

Open Access

PAlarm: a pediatric clinical worsening identification system

  • Viviana Frigato1Email author,
  • Liliana Vagliano2 and
  • Maria Cristina Rossi3
Italian Journal of Pediatrics201440(Suppl 1):A51

https://doi.org/10.1186/1824-7288-40-S1-A51

Published: 11 August 2014

Rapid Response System (RRS) is by now commonly used and internationally validate to manage in hospital emergency. Both its optimal management and early identification are essential to reduce mortality and neurological sequences of anoxia.

However, in the pediatric Italian population, this system is poorly employ, even if its effectiveness has already been demonstrated.

Therefore, in 2010 at Turin a study [1] was conducted in 5 units of a third level pediatric hospital; the aim was to experiment the only pediatric system completely validate in literature (the Pediatric early Warning Score System). In order to apply this system, it was necessary to adapt it at local reality, analyzing relevant cases (PEWS≥ 3); all nursing staff underwent an interview to analyze utility and effectiveness of the system.

The obtained results confirm the hypothesis that a PEWS system is suitable for general departments where respiratory pathologies (main cause of death in pediatric age) prevail.

Thanks to this pilot study, the Regina Margherita Children Hospital of Turin has developed the application of this system at the whole hospital, further adjusting it in order to improve the adaptation at local reality, based on preliminary results. The new system has been called PAlarm (Pediatric Alarm), to better connect with METal methodology broadly used for adult patient all over Italian country.

Moreover, specific educational courses has been developed, both for nurses and physicians, in order to correctly apply this system in journal clinical activity.

Authors’ Affiliations

(1)
Regina Margherita Children Department, Città della Salute e della Scienza Hospital of Turin
(2)
University of Turin – Pediatric Nursing Degree Course
(3)
Città della Salute e della Scienza Hospital of Turin – Management of In Hospital Emergency Working Group

References

  1. Frigato V, Vagliano L, Bondone C, Grasso G, Urbino A, Bondone C, Rossi MC: Studio sull’applicabilità del Pediatric Early Warning Score System nella pratica infermieristica di un ospedale pediatrico italiano. Children’s Nurses - Italian Journal of Pediatric Nursing Science. 2013, 5: 95-99.Google Scholar

Copyright

© Viviana et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Advertisement