scholarly journals Improved outcomes after successful implementation of a pediatric early warning system (PEWS) in a resource-limited pediatric oncology hospital

Cancer ◽  
2017 ◽  
Vol 123 (15) ◽  
pp. 2965-2974 ◽  
Author(s):  
Asya Agulnik ◽  
Lupe Nataly Mora Robles ◽  
Peter W. Forbes ◽  
Doris Judith Soberanis Vasquez ◽  
Ricardo Mack ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Successful Implementation ◽  
Resource Limited ◽  
Improved Outcomes

scholarly journals Validation of a pediatric early warning system for hospitalized pediatric oncology patients in a resource‐limited setting

Cancer ◽  
2017 ◽  
Vol 123 (24) ◽  
pp. 4903-4913 ◽  
Author(s):  
Asya Agulnik ◽  
Alejandra Méndez Aceituno ◽  
Lupe Nataly Mora Robles ◽  
Peter W. Forbes ◽  
Dora Judith Soberanis Vasquez ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Resource Limited Setting ◽  
Oncology Patients ◽  
Resource Limited ◽  
Limited Setting

scholarly journals Successful Implementation of a Pediatric Early Warning Score in a Resource-Limited Pediatric Oncology Hospital in Guatemala

2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 60s-60s
Author(s):  
Asya Agulnik ◽  
Dora Judith Soberanis Vasquez ◽  
Jose Emigdio García Ortiz ◽  
Lupe Nataly Mora Robles ◽  
Ricardo Mack ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Pediatric Oncology ◽  
Early Warning ◽  
Conflicts Of Interest ◽  
Low Cost ◽  
Early Warning Score ◽  
Level Of Care ◽  
Successful Implementation ◽  
Oncology Patients ◽  
Resource Limited

Abstract 25 Background: Hospitalized pediatric oncology patients are at high risk for clinical decline and mortality, particularly in resource-limited settings. Pediatric Early Warning Scores (PEWS) are commonly used to aid with early identification of clinical deterioration; however, these scores have never been studied in oncology patients in low-resource settings. We describe the successful implementation of a modified PEWS at Unidad Nacional de Oncología Pediátrica (UNOP), a national pediatric oncology hospital in Guatemala. Methods: The PEWS used at Boston Children's Hospital (BCH) was modified through key informant meetings at UNOP, adjusting for practice variations between the two hospitals. After an initial pilot of the tool, the PEWS was implemented in all non-ICU inpatient areas at UNOP (60 beds with about 2,000 admissions/year). During implementation, systems were created to monitor errors in calculating PEWS, patient transfers to a higher level of care, and high PEWS scores for ongoing quality improvement. Results: Hospital-wide implementation occurred over 6 months, when 113 nurses were trained in the PEWS tool and algorithm. Compliance with PEWS performance and documentation was 100% by the end of the implementation period, with 300 to 400 PEWS measured daily and less than 10% errors. Monitoring of PEWS results reports an average of 5 high PEWS per week with 30% transferring to a higher level of care. Among patients requiring ICU transfer, 86% had an abnormal PEWS prior to transfer, which is similar to results at BCH (90%). Staff surveys showed a high degree of satisfaction with PEWS (4.6/5) and minimal difficulty using the score (2.3/5) (n=67). Conclusions: We describe the successful implementation of a PEWS in a pediatric oncology hospital in Guatemala. This work demonstrates that PEWS is a feasible, well-accepted, and low-cost quality improvement measure in this resource-limited setting. We now plan to evaluate the effects of this implementation on patient care and outcomes. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.

scholarly journals Impact of Implementing a Pediatric Early Warning System (PEWS) in a Pediatric Oncology Hospital

2018 ◽  
Vol 3 (2) ◽  
pp. e065
Author(s):  
Asya Agulnik ◽  
Sherry Johnson ◽  
Regina Wilkes ◽  
Lane Faughnan ◽  
Angela Carrillo ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System

scholarly journals 1296: IMPACT OF IMPLEMENTING A PEDIATRIC EARLY WARNING SYSTEM (PEWS) IN A PEDIATRIC ONCOLOGY HOSPITAL

2018 ◽  
Vol 46 (1) ◽  
pp. 631-631 ◽  
Author(s):  
Asya Agulnik ◽  
Sherry Johnson ◽  
Regina Wilkes ◽  
Lane Faughnan ◽  
Angela Carrillo ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System

scholarly journals Toward a cross-border early-warning system for Central Asia

2015 ◽  
Vol 58 (1) ◽  
Author(s):  
Jacek Stankiewicz ◽  
Dino Bindi ◽  
Adrien Oth ◽  
Stefano Parolai
Keyword(s):  
Central Asia ◽  
Early Warning ◽  
Urban Areas ◽  
Early Warning System ◽  
Large Scale ◽  
Damage Control ◽  
Warning System ◽  
Earthquake Early Warning ◽  
Successful Implementation ◽  
Cross Border

<p>Rapidly expanding urban areas in Central Asia are increasingly vulnerable to seismic risk; but at present, no earthquake early warning (EEW) systems exist in the region despite their successful implementation in other earthquake-prone areas. Such systems aim to provide short (seconds to tens of seconds) warnings of impending disaster, enabling the first risk mitigation and damage control steps to be taken. This study presents the feasibility of a large scale cross-border regional system for Central Asian countries. Genetic algorithms are used to design efficient EEW networks, computing optimal station locations and trigger thresholds in recorded ground acceleration. Installation of such systems within 3 years aims to both reducing the endemic lack of strong motion data in Central Asia that is limiting the possibility of improving seismic hazard assessment, and at providing the first regional earthquake early warning system in the area.</p>

Cost‐benefit analysis of implementing a pediatric early warning system at a pediatric oncology hospital in a low‐middle income country

Cancer ◽  
2019 ◽  
Vol 125 (22) ◽  
pp. 4052-4058 ◽  
Author(s):  
Asya Agulnik ◽  
Federico Antillon‐Klussmann ◽  
Dora Judith Soberanis Vasquez ◽  
Rosa Arango ◽  
Elmer Moran ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Early Warning ◽  
Early Warning System ◽  
Cost Benefit Analysis ◽  
Warning System ◽  
Cost Benefit ◽  
Middle Income Country ◽  
Income Country ◽  
Benefit Analysis ◽  
Middle Income
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