科研动态期刊摘要

用于识别病情恶化儿童的预警系统将推广至英格兰各地急诊科

The BMJ · 2026-11-04

摘要

今年冬天,一套用于识别病情恶化儿童的预警系统将在英格兰各地的急诊科推广。该系统名为儿科早期预警系统(PEWS),要求工作人员测量、记录并评估儿童的生命体征,然后为其评分。评分越高,患儿将获得更紧急的关注。根据英国国家医疗服务体系(NHSE)公布的方案,即使患儿的临床评分较低,如果医务人员、家长或患者本人提出担忧,其照护仍可升级。PEWS系统已在90个儿科住院病房使用。NHSE表示,数据显示这些信托机构患者的心脏骤停发生率持续较低。1英国国家医疗服务体系各医院也针对成人使用了类似系统。然而,

English
Early warning system for deteriorating children to expand to emergency departments across England

An early warning system to spot deteriorating children will be rolled out across England’s emergency departments this winter.Called the Paediatric Early Warning System (PEWS), this requires staff to measure, record, and assess children’s vital signs, before assigning them a score. A higher score will result in the child receiving more urgent attention.Even if their clinical score is low, a child’s care can be escalated if medical staff, parents, or the patient themselves raise concerns, according to the plans announced by NHS England (NHSE).The PEWS system is already in use across 90 paediatric inpatient wards. Data show that these trusts have consistently lower rates of cardiac arrests among patients, NHSE said.1A similar system is also in use for adults across NHS hospitals. However, the

内容仅供参考,不构成诊疗建议,不能替代执业医师的诊断。

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