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Title: Scoring systems in paediatric emergency care: Panacea or paper exercise?
Authors: Roland, Damian
McCaffery, Kevin
Davies, Ffion
First Published: 1-Feb-2016
Publisher: Wiley
Citation: Journal of Paediatrics and Child Health, 2016, 52 (2), pp. 181–186
Abstract: Scoring systems to recognise the most ill patients, or those at risk of deterioration, are increasingly utilised in hospitals that look after paediatric inpatients. There have been efforts to implement these systems in emergency and urgent care settings, but they have yet unproven value. This is because the child or young person presenting acutely is a different cohort than the ‘treated’ ward-based group. The majority of children presenting to emergency and urgent care settings are discharged home, and so, scoring systems need to recognise the most unwell but also assist in safe and appropriate discharge as well as highlighting those patients in need of more senior review. This article explores this conundrum, suggesting how cognitive factors have a role to play, and how scoring systems can have wider effects than just individual patient care.
DOI Link: 10.1111/jpc.13123
ISSN: 1034-4810
eISSN: 1440-1754
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © the authors, 2015. After embargo this version will be an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License ( ), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Appears in Collections:Published Articles, Dept. of Health Sciences

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