Observation charts specifically for paediatric patients have been developed in Australia. The trigger thresholds in these charts vary according to the age of the child.
In New South Wales, a series of paediatric charts have been developed as part of the Between the Flags program. These are single parameter charts with three response categories, and align with the standard adult general observation chart that is in place across NSW.
In Queensland, the children’s early warning tool (CEWT) is a chart with an aggregate weighted scoring system built in. The chart was designed according to human factors principles and has been the subject of a prospective trial regarding the trigger thresholds used.
In the Australian Capital Territory, paediatric charts have been developed as part of the COMPASS program. These charts are available from the COMPASS web site.
There is now a focus on the development of charts and track and trigger systems that can be used in maternity settings, and these states and territories are undertaking work in this area. Examples of paediatric and maternity charts developed by Eastern Health in Victoria can be found here.