biostudies-literatureO'Halloran ADr. Maya Dewan was supported by a grant from the Agency for Healthcare Research and QualityThe Pediatric Resuscitation Quality Collaborative is supported by an unrestricted grant from ZollAHRQ HHSDr. Nadkarni is the PI for unrestricted research and educational grants to his institution from Zoll Medical, the Laerdal Foundation, and RQI Partners.1102-1108https://www.ebi.ac.uk/biostudies/studies/S-EPMC12444532biostudies-literatureUnknown18(12)Systems to detect and respond to deteriorating hospitalized children are common despite little evidence supporting best practices. Our objective was to describe systems to detect/respond to deteriorating hospitalized children at Pediatric Resuscitation Quality Collaborative (pediRES-Q) institutions. We performed a cross-sectional survey of pediRES-Q leaders. Questionnaire design utilized expert validation and cognitive interviews. Thirty centers (88%) responded. Most (93%) used ≥1 system to detect deterioration: most commonly, early warning scores (83%), watcher lists (55%), and proactive surveillance teams (31%). Most (90%) had a team to respond to deteriorating patients and the majority of teams could be activated by clinician or family concerns. Most institutions (90%) collect relevant Journal of hospital medicineHow do we detect and respond to clinical deterioration in hospitalized children? Results of the Pediatric Care BefOre Deterioration Events (CODE) survey.PMC12444532K08 HS026975AHRQ K08HS026975Nadkarni VOlson MpediRES-Q InvestigatorsIkeyama TBuysse CSosa TLockwood JAtkins DSu FSutton RDel Castillo JFriess SHunt BMok YHWatanabe IMaxwell AVillaescusa JUWelsby DSen AChristoff ATan GdeJong GBraga MSDewan MGilleland JHanson CHarvey HYeo APirzadeh ATegtmeyer KTegg OSweberg TGangadharan SStromberg DCorbett KYu PHayes JDonoghue ARaymond THarwayne-Gidansky IMaa TAbulebda KRanganathan AHaskell SWolfe HHeber KJani PLauridsen KGNett SWenger JLaShoto DVidrine RGriffis HSkellet SBerg MWratney AOng GTopjian ACheng AMasse EDeCaen AGawronski OLemoine TBerg REsangbedo IGray JMejia LMKleinman MKnight LKurosawa HMorgan RDiMaria KRoberts JO'Halloran ABalikai SfalseHow do we detect and respond to clinical deterioration in hospitalized children? Results of the Pediatric Care BefOre Deterioration Events (CODE) survey.Systems to detect and respond to deteriorating hospitalized children are common despite little evidence supporting best practices. Our objective was to describe systems to detect/respond to deteriorating hospitalized children at Pediatric Resuscitation Quality Collaborative (pediRES-Q) institutions. We performed a cross-sectional survey of pediRES-Q leaders. Questionnaire design utilized expert validation and cognitive interviews. Thirty centers (88%) responded. Most (93%) used ≥1 system to detect deterioration: most commonly, early warning scores (83%), watcher lists (55%), and proactive surveillance teams (31%). Most (90%) had a team to respond to deteriorating patients and the majority of teams could be activated by clinician or family concerns. Most institutions (90%) collect relevant 2023-01-01T00:00:00Z2023 Dec2026-06-04T07:28:11.171Z2026-06-04T03:05:43.891ZS-EPMC124445323786121010.1002/jhm.13224