Pediatric Resuscitation Quality Collaborative
High Risk Checklist ​
In-hospital cardiac arrest is frequently preceded by early warning signs of clinical deterioration that can be recognized and treated by trained in-hospital staff. The improvement in recognition, situational awareness, and training amongst healthcare providers in the complex, high-stress setting of a pediatric critical care setting may have an important impact on patient outcomes.
Consistent and regular use of a High-Risk Checklist can:
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Facilitate early identification of patients at the highest risk for cardiac arrest.
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Allow the multidisciplinary clinical team additional time and resources to prepare hospital staff, equipment, and the patient in the event of a cardiac arrest.​
DISCLAIMER: Please be respectful of intellectual property; these are the proprietary documents of their respective institutions.
The following customized high risk screening forms have been made available for reference and use by members of the collaborative.
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Check out Instituto Roosevelt's for a Spanish translation!
High Risk Screening Forms
How can we implement a High Risk Checklist in our ICU?
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Screen with high risk checklist during morning & evening pre-rounding/huddles
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Assign a charge nurse or a respiratory therapist to do the daily screening -- it is important to have "Checklist Champions" for each shift!