Feasibility and acceptability of implementing an evidence-based ESCALATION system for paediatric clinical deterioration
Publication Details
Gill, F.,
Cooper, A.,
Falconer, P.,
Stokes, S.,
Roberts, A.,
Szabo, M.,
&
Leslie, G.
(2024).
Feasibility and acceptability of implementing an evidence-based ESCALATION system for paediatric clinical deterioration.
Pediatric Research,.
Abstract
Background: The ESCALATION system is a novel paediatric Early Warning System that incorporates family involvement and sepsis recognition. This study aimed to assess the feasibility and iteratively refine the ESCALATION system in a variety of hospital settings in preparation for full-service implementation.
Methods: A series of four multi-methods studies using an Implementation Science and co-design approach were conducted. We examined concepts of implementation, context, and mechanisms of action across a variety of hospitals. Data collected included practice and chart audits, surveys (health professionals), interviews (families) and focus groups (health professionals). Quantitative data were analysed descriptively with qualitative findings assessed by content analysis or thematic analysis.
Results: There were 650 audits (Study I–IV), 205 health professional survey responses (Study I), 154 health professionals participated in focus groups (Study II–IV), 13 parents of hospitalised children interviewed (Study I), and 107 parents reported their involvement in the ESCALATION system (Study III–IV). Each of the studies further refined and confirmed the feasibility, specifically the components of family involvement and the sepsis recognition pathway.
Conclusion: The Implementation Science evaluation of the ESCALATION system resulted in a uniform approach that was feasible and acceptable to users and appropriate for full-service implementation
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