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When introducing early warning tools and systems, as with any improvement opportunity, it's important to consider design, implementation and evaluation processes that include all relevant team members. Meaningful consultation, and contribution is key to implementing and sustaining improvement. The following tools and resources will assist you in recognizing and responding to the deteriorating patient condition in a paediatric setting.

Need a helping hand?

The Hospital for Sick Children has implemented a Bedside Pediatric Early Warning System across their organization and has supported many other paediatric centers in doing the same. They would be happy to help your team. Please email for more information. 

Additionally, if you would like to learn more about the paediatric rapid response processes, the teams at either IWK Health Care or the Children`s Hospital of Eastern Ontario would be happy to share their Specialized Pediatric Outreach Teams approach with you. Please contact Stacy Burgess ( at IWK Health Care, or either Christa Ramsay ( or Dr. Anna-Theresa Lobos ( at the Children`s Hospital of Eastern Ontario to learn more.​


Patient safety experts agree that effective teamwork skills are essential for safe, quality healthcare that prevents and mitigates harm. TeamSTEPPS® - Team Strategies and Tools to Enhance Performance and Patient Safety, is an evidence-based teamwork system that optimizes patient care by improving communication and teamwork skills among healthcare professionals, including frontline staff. As a part of SHIFT to Safety, CPSI is developing, in partnership with patients and family members, TeamSTEPPS modules and content to be launched later this year. Click here to subscribe to our mailing list and be notified as soon as they're ready!