PUMA: Paediatric early warning system (PEWS): Utilisation and Mortality Avoidance. A prospective, mixed methods, before and after study identifying the evidence base for the core components of an effective PEWS and the development of an implementation package for implementation and use in the UK

Paediatric early warning systems: Not a simple answer to a complex question (2022)
Journal Article
Roland, D., Powell, C., Lloyd, A., Trubey, R., Tume, L., Sefton, G., Huang, C., Taiyari, K., Strange, H., Jacob, N., Thomas-Jones, E., Hood, K., & Allen, D. (2023). Paediatric early warning systems: Not a simple answer to a complex question. Archives of Disease in Childhood, 108(5), 338-343. https://doi.org/10.1136/archdischild-2022-323951

Paediatric early warning systems (PEWS) to reduce in-hospital mortality have been a laudable endeavour. Evaluation of their impact has rarely examined the internal validity of the components of PEWS in achieving desired outcomes. We highlight the ass... Read More about Paediatric early warning systems: Not a simple answer to a complex question.

Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study (2022)
Journal Article
Allen, D., Lloyd, A., Edwards, D., Grant, A., Hood, K., Huang, C., Hughes, J., Jacob, N., Lacy, D., Moriarty, Y., Oliver, A., Preston, J., Sefton, G., Skone, R., Strange, H., Taiyari, K., Thomas-Jones, E., Trubey, R., Tume, L., Powell, C., & Roland, D. (2022). Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study. Health and Social Care Delivery Research, 10(1), 307. https://doi.org/10.3310/CHCK4556

Objectives: (1) Identify, through systematic review, the following: evidence for core components of effective paediatric track-and-trigger tools and paediatric early warning systems, and contextual factors consequential for paediatric track-and-trigg... Read More about Development, implementation and evaluation of an early warning system improvement programme for children in hospital: the PUMA mixed-methods study.

Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study (2022)
Journal Article
Allen, D., Lloyd, A., Edwards, D., Hood, K., Huang, C., Hughes, J., Jacob, N., Lacy, D., Moriarty, Y., Oliver, A., Preston, J., Sefton, G., Sinha, I., Skone, R., Strange, H., Taiyari, K., Thomas-Jones, E., Trubey, R., Tume, L., Powell, C., & Roland, D. (2022). Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study. BMC health services research, 22(1), Article 9. https://doi.org/10.1186/s12913-021-07314-2

Background: Paediatric mortality rates in the United Kingdom are amongst the highest in Europe. Clinically missed deterioration is a contributory factor. Evidence to support any single intervention to address this problem is limited, but a cumulative... Read More about Development, implementation and evaluation of an evidence-based paediatric early warning system improvement programme: the PUMA mixed methods study.