Mary C. McLellan

TL;DR: C-CHEWS has excellent discrimination to identify deterioration in children with cardiac disease and performed significantly better than PEWS both as an ordinal variable and when choosing cut points to maximize AUROC.

TL;DR: The modification of a pediatric early warning scoring system for cardiovascular patients, the implementation of the tool, and its companion escalation of care algorithm on an inpatient pediatric cardiovascular unit are described.

TL;DR: An interdisciplinary team of CAM clinicians and educators can be integrated into an urban pediatric teaching hospital to provide CAM medical education and clinical services.

TL;DR: The Children's Hospital Early Warning System was validated as a system which provides excellent discrimination of critical deterioration and may provide 3.5 – 11.1 hours warning to clinicians prior to a child’s critical deterioration.

TL;DR: The development of PAC3 is described, including the philosophical, organisational, and infrastructural elements that will enable a paediatric acute care cardiology learning network, as well as the quality improvement methodologies consistent with the Model for Improvement.