Evidence map›Paper›PMID 36107953›Full record

ArticlePloS one2022

Clinical utility and acceptability of a whole-hospital, pro-active electronic paediatric early warning system (the DETECT study): A prospective e-survey of parents and health professionals.

Bernie Carter, Holly Saron, Lucy Blake, Chin-Kien Eyton-Chong, Sarah Dee, Leah Evans, Jane Harris, Hannah Hughes, Dawn Jones, Caroline Lambert and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Patient and family activated escalation systems: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Bernie CarterFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom.ORCID 0000-0001-5226-9878
Holly SaronFaculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom.ORCID 0000-0001-7563-3409
Lucy BlakeDepartment of Social Sciences, University of West of England, Bristol, United Kingdom.
Chin-Kien Eyton-ChongDepartment of General Paediatrics, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Sarah DeeHigh Dependency Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Leah EvansHigh Dependency Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Jane HarrisFaculty of Health, Public Health Institute, Liverpool John Moores University, United Kingdom.ORCID 0000-0001-6584-1642
Hannah HughesOncology Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Dawn JonesClinical Research Division, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Caroline LambertInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom.
Steven LaneInstitute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Fulya MehtaDepartment of General Paediatrics, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Matthew PeakNIHR Alder Hey Clinical Research Facility, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Jennifer PrestonDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.
Sarah SinerClinical Research Division, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Gerri SeftonPaediatric Intensive Care Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Enitan D CarrolInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom.
Alder Hey Children's NHS Foundation Trust · GBUniversity of Liverpool · GBEdge Hill University · GBLiverpool John Moores University · GBUniversity of the West of England · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundPaediatric early warning systems (PEWS) are a means of tracking physiological state and alerting healthcare professionals about signs of deterioration, triggering a clinical review and/or escalation of care of children. A proactive end-to-end deterioration solution (the DETECT surveillance system) with an embedded e-PEWS that included sepsis screening was introduced across a tertiary children's hospital. One component of the implementation programme was a sub-study to determine an understanding of the DETECT e-PEWS in terms of its clinical utility and its acceptability.

aimThis study aimed to examine how parents and health professionals view and engage with the DETECT e-PEWS apps, with a particular focus on its clinical utility and its acceptability.

methodA prospective, closed (tick box or sliding scale) and open (text based) question, e-survey of parents (n = 137) and health professionals (n = 151) with experience of DETECT e-PEWS. Data were collected between February 2020 and February 2021.

resultsQuantitative data were analysed using descriptive and inferential statistics and qualitative data with generic thematic analysis. Overall, both clinical utility and acceptability (across seven constructs) were high across both stakeholder groups although some challenges to utility (e.g., sensitivity of triggers within specific patient populations) and acceptability (e.g., burden related to having to carry extra technology) were identified.

conclusionDespite the multifaceted nature of the intervention and the complexity of implementation across a hospital, the system demonstrated clinical utility and acceptability across two key groups of stakeholders: parents and health professionals.

Indexed as

Health PersonnelHospitalsChildElectronicsHumansParentsProspective Studies

Identifiers

PMID36107953
PMCPMC9477367
OpenAlexW4295908582

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.