biostudies-literatureUnknown16Parshuram CSCanadian Institutes of Health Research<h4>Background</h4>The prevention of near and actual cardiopulmonary arrest in hospitalized children is a patient safety imperative. Prevention is contingent upon the timely identification, referral and treatment of children who are deteriorating clinically. We designed and validated a documentation-based system of care to permit identification and referral as well as facilitate provision of timely treatment. We called it the Bedside Paediatric Early Warning System (BedsidePEWS). Here we describe the rationale for the design, intervention and outcomes of the study entitled Evaluating Processes and Outcomes of Children in Hospital (EPOCH).<h4>Methods/design</h4>EPOCH is a cluster-randomized trial of the BedsidePEWS. The unit of randomization is the participating hospital. Eligible hospitalsTrials245https://www.ebi.ac.uk/biostudies/studies/S-EPMC4458338biostudies-literatureEvaluating processes of care and outcomes of children in hospital (EPOCH): study protocol for a randomized controlled trial.PMC4458338Willan ARNadkarni VJoffe AGottesman RLacroix JParkin PCanadian Critical Care Trials GroupGray MHelfaer MDryden-Palmer KParshuram CSFarrell CWensley DHunt EHutchison JSfalseEvaluating processes of care and outcomes of children in hospital (EPOCH): study protocol for a randomized controlled trial.<h4>Background</h4>The prevention of near and actual cardiopulmonary arrest in hospitalized children is a patient safety imperative. Prevention is contingent upon the timely identification, referral and treatment of children who are deteriorating clinically. We designed and validated a documentation-based system of care to permit identification and referral as well as facilitate provision of timely treatment. We called it the Bedside Paediatric Early Warning System (BedsidePEWS). Here we describe the rationale for the design, intervention and outcomes of the study entitled Evaluating Processes and Outcomes of Children in Hospital (EPOCH).<h4>Methods/design</h4>EPOCH is a cluster-randomized trial of the BedsidePEWS. The unit of randomization is the participating hospital. Eligible hospitals2015-01-01T00:00:00Z2015 Jun2026-06-16T05:49:21.234Z2019-03-27T01:52:57ZS-EPMC44583382603309410.1186/s13063-015-0712-3