SPSP Perinatal and Paediatric Programmes National Learning Session: October 2024
Paediatric breakout session overview
Focus on escalation
Aims
- Review the evidence, tools, and resources that support responses to the deteriorating child and young person.
- Hear examples of improvement work focused on escalation from two NHS boards, providing an opportunity for sharing and learning.
- Examine the response to deterioration in your board, identifying bright spots and areas for improvement.
The development and testing of an escalation sticker, presented by Sam Fredricksen-Freer and Laura McCulloch from NHS Ayrshire & Arran.
Discussion summary
NHS Ayrshire & Arran were creative with how they collect their data to measure compliance with the escalation sticker, including engaging the ward clerkess. For the initial test of change, the team only used the sticker on high-dependency unit patients, making it easier to track the patients for data collection.
There is ongoing work to establish a consistent escalation pathway. For example, when escalating to the medical team how do staff ensure that the nurse in charge is also notified in a timely manner? The team plan to minimise variation by developing a shared understanding of a standard escalation process across staff at all levels of expertise.
Patientrack (eObs) Paediatrics, presented by Billy Gibson and Lisa Law from NHS Tayside.
Discussion summary
The discussion focused on how boards with, or considering, electronic PEWS share and learn from each other’s experiences. While SPSP Paediatric can play a role in linking these boards, the expertise and drive to change to electronic PEWS exists within the boards.
How do we understand or create our own structured responses to deterioration? presented by Healthcare Improvement Scotland team.
Discussion summary
Use of the SPSP Acute Adult Structured Response Mapping Tool and the questions to consider.
- Who should be involved? How do we recognise deterioration? What is our initial response? How do we continue to respond and review?
How do clinicians capture parental concern? What is the process for this?
- Some boards are working on standardising how parental concern is captured. Link with the SPSP Paediatric team for further information.