Why is there a need for improvement in paediatric care?
Children and young people have been at the centre of policy in Scotland over recent years, with a clear recognition that the future of our nation is dependent on the health and well-being of our children.
The Local Delivery Plan (PDF) (2007) and the Emergency Care Framework for Children and Young People (PDF) (2006) have been the response to ensuring equity of access to high quality healthcare services for children in Scotland. Delivering a Healthy Future (PDF) (Scottish Government 2007) recognises the need for ongoing development of measurable improvements in the provision of healthcare, health improvement and health outcomes for children and young people.
The SPSP Paediatric programme is currently focussing on reducing unplanned admissions to Paediatric Intensive Care Units (PICU), Ventilator Associated Pneumonia (VAP) and central venous catheter related blood stream infections.
- WebEx and recordings
The following are recordings and PDFs of the PowerPoint presentations from the MCQIC Paediatric Care WebEx series:
25 April 2018 - Learning from Excellence & Sepsis, presented by Dr Adrian Plunkett, Paediatric Intensive Care Consultant, NHS Birmingham Women's and Children's
21 June 2018 - Project Surgery on ‘Watchers’ and PEWS WebEx, Dr Neil Spenceley, Paediatric Clinical Lead at Healthcare Improvement Scotland.
6th March 2018, Paediatric Networking Event, Cathy Macdonald, Art of Communication Masterclass View of presentation
21 April 2017 - Increased situational awareness to reduce undetected deterioration (PDF) by Dr Pat Brady, Associate Professor of Paediatrics Division at Cincinnati Children's Hospital Medical Center.
25 May 2017 - Managing Sepsis in Paediatrics (PDF) by Dr Binita Patel, Chief of Quality of Safety in Paediatric Emergency Medicine at Texas Children's Hospital.
7 June 2017 - PEWS as a system (PDF) by Dr Damian Roland, Consultant in Paediatric Emergency Medicine at University Hospital of Leicester.
18 July 2017 - Paediatric Sepsis WebEx by Dr Neil Spenceley, Paediatric Clinical Lead at Healthcare Improvement Scotland and Drew McDonald (PDF), Senior Staff Nurse at NHS Grampian.
- Board Sharing
NHS Greater Glasgow and Clyde: VAP SPSP Poster
- Data and Measurement
Paediatric Core Measurement Plan (PDF) - May 2018.
Paediatric Supplementary measurement plan (PDF) -May 2018
The paediatric care driver diagram (PDF) maps out the aims, outcomes and change packages for the programme.
Further tools and resources related to the paediatric care programme can be found in the Member's Area
- Useful Links
Improving Situation Awareness to Reduce Unrecognized Clinical Deterioration and Serious Safety Events
Patrick Brady and colleagues in Cincinnati Children’s Hospital Medical Center describe watchers 2013 Jan; 131(1): e298–e308.doi: 10.1542/peds.2012-1364
- Tools and Resources
NHS Scotland Paediatric Early Warning Scores (PEWS) tables
Helpful tables for any clinician to look at normal and abnormal ranges as per national PEWS. To be used as a reference of what may be acceptable range for a set of observations per age.
Please note that PEWS are not validated for use in Primary Care.
Accessible, pocket-sized guidance.
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The Maternity and Children Quality Improvement Collaborative (MCQIC) supports #WorldPatientSafetyDay today to help ensure that #SafeStaffSafeCare helps create the best possible outcomes for mothers, babies, children and families @online_his @ihubscot pic.twitter.com/z0HSiSg2NR
Helpful tables for clinicians to look at normal and abnormal ranges as per national #PEWS To be used as a reference for acceptable ranges per age. Please note that PEWS are not validated for use in Primary Care tinyurl.com/y5fg85kb @LindaClerihew @online_his @ihubscot pic.twitter.com/gl4WA9v0RS
Here are three more top tip for using @NHSNearMe from paediatric clinicians across Scotland. Join our follow up webinar on 24 June to hear from others about their experiences of using Near Me. Register here: bit.ly/2UBu8VH pic.twitter.com/V1c57K2Exd