NIHR i4i funded clinical research study of Dynamic Electronic Tracking & Escalation to reduce Critical care Transfer in children in @alderhey

Liverpool, England
Joined June 2019
Great presentation from @BarneyUoB about developments in post ROSC neuro care and prognostication #ESPNIC2023
1
3
7
597
As we come to the end of the event @gerri_sefton says children admitted to hospital don't have the same baseline risk for having a subsequent critical deterioration. Antecedent risk factors contribute including age, previous HDU or PICU admission & high-risk patient groups... 1/3
1
8
1
17
Following their presentations, @CarterBernie & @DrHolly_Saron are now asked questions by those in attendance about how the parents of children in hospital can support in identifying signs of critical deterioration, how staff can be supported in using devices, & more #DETECTstudy
1
9
.@CarterBernie shares key findings from healthcare professionals who took part in the #DETECTstudy: 1⃣ Clinical utility & acceptability were higher in staff who were mandated to use the DETECT system to document vital signs compared to staff using DETECT to respond to alerts 1/3
1
4
1
17
The final talk that we have for today is a qualitative study on the initial experiences and perceptions as well as the acceptability of electronic surveillance systems from clinical staff and health professionals as part of the #DETECTstudy by @CarterBernie !!
After analysing interviews conducted with parents of patients who took part in the #DETECTstudy, @DrHolly_Saron, Research Fellow @edgehill, says she found parents trusted that the DETECT technology would support the care healthcare professionals provided, to keep their child safe
1
5
13
@DrHolly_Saron is presenting another qualitative study about parents' experiences and perceptions of the acceptability of electronic surveillance of their children's health after the #DETECTstudy was launched!
Next we have @CarterBernie presenting a qualitative study project about the acceptability and clinical utility of the #DETECTstudy to parents and clinical staff!
1
5
12
.@CarterBernie, Professor of Children's Nursing @edgehill shares the findings of our #DETECTstudy survey & what they mean for the clinical utility & acceptability of a whole-hospital, pro-active electronic paediatric early warning system (DETECT) to parents & health professionals
5
11
The second presentation by Dr Eduardo Costa is looking at the analysis of health economics when it comes to the cost-effectiveness of implementing Careflow Vitals! #DETECTstudy
For those of you following online, key takeaways from the presentation we've just had from Dr Eduardo Costa and Céu Mateus @LancasterUni are: 1⃣ Prevention deterioration is key as cost savings are primarily achieved by reducing the number of critical deteriorations 1/3
2
6
1
13
The first talk that we have after lunch which explores the economic side of the #DETECTstudy! Dr Eduardo Costa is discussing the economic burden experienced by the carers of children who have had a critical deterioration event.
Céu Mateus, Professor of Health Economics @LancasterUni says "Critical deterioration in inpatients is a substantial added cost for healthcare delivery, when evaluated by national tariff for HRG, or by patient level costs, which is why preventing deterioration is key" #DETECTstudy
.@Bracken_abbey, Academic Foundation Doctor @NHSEngland, also shared with us that all seven PEWS models evaluated had very good prediction of Critical Deterioration Events in a heterogeneous cohort & standardisation to a single evidence-based PEWS could yield safety benefits 1/2
1
5
2
9
.@gerri_sefton, Co-Chief Investigator of the #DETECTstudy @AlderHey, talks about how modifications to the NICE sepsis screening were made following the evaluation of whole hospital proactive screening for one year 1/2
1
5
1
14