The EFFECTIVENESS OF THE UTILIZATION OF THE RAPID RESPONSE SYSTEM IN PEDIATRIC WARDS AT RAMATHIBODI HOSPITAL
Keywords:
rapid response system, pediatric wards, pediatric early warning signsAbstract
This retrospective research aimed to study the severity of the pediatric patients by using pediatric early warning signs (PEWs) tool and compare the number of patients transferred to the intensive care unit (ICU), cardiac arrest and in-hospital mortality pre-post developing Ramathibodi Rapid Response System (RRRS). The sample consisted of patients aged over 1 month to 15 years who were admitted to the pediatric ward at Ramathibodi hospital. 1,509 pediatric patients in the pre-RRRS group and 1,524 in the post-RRRS group. The instruments were composed of the hospital protocol for response to the deterioration of pediatric patients, demographic information; PEWs record forms, which were divided into 4 age groups. The content validity index was at 1.00 and inter-rater reliability (IRR) coefficients were .92, .94, .90, and .95 respectively. Data were analyzed using descriptive and Mann-Whitney U test statistics.
The results showed that: 1) the severity level of pediatric patients was low level, 2) The amount of pediatric patients transferred to ICU decreased significantly at the .05 level in pre-post RRRS development. There were no statistical significant differences in cardiac arrest and in-hospital mortality between the two groups.
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