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Dr Andrew Rowland's Outputs (60)

The Impact of COVID-19 on Children, Young People, and Families in Sihanoukville, Cambodia: The Mitigating Work of M'Lop Tapang. (2024)
Journal Article
Kelly, A., Guest, K., Chamroeun, U., Sinat, D., & Graeme, A. (2024). The Impact of COVID-19 on Children, Young People, and Families in Sihanoukville, Cambodia: The Mitigating Work of M'Lop Tapang. Comprehensive Child and Adolescent Nursing, 47(2), 115-130. https://doi.org/10.1080/24694193.2024.2354329

Globally, children have been adversely affected by the wide variety of impacts of SARS-CoV-2 (Coronavirus | COVID-19). Vulnerable children who depend on the support of education and health and social care systems were left unprotected as these system... Read More about The Impact of COVID-19 on Children, Young People, and Families in Sihanoukville, Cambodia: The Mitigating Work of M'Lop Tapang..

Developing rights-based standards for children having tests, treatments, examinations and interventions: using a collaborative, multi-phased, multi-method and multi-stakeholder approach to build consensus. (2023)
Journal Article
Bray, L., Carter, B., Kiernan, J., Horowicz, E., Dixon, K., Ridley, J., …Robichaud, F. (in press). Developing rights-based standards for children having tests, treatments, examinations and interventions: using a collaborative, multi-phased, multi-method and multi-stakeholder approach to build consensus. European Journal of Pediatrics, 10.1007/s00431-023-05131-9. https://doi.org/10.1007/s00431-023-05131-9

Children continue to experience harm when undergoing clinical procedures despite increased evidence of the need to improve the provision of child-centred care. The international ISupport collaboration aimed to develop standards to outline and explain... Read More about Developing rights-based standards for children having tests, treatments, examinations and interventions: using a collaborative, multi-phased, multi-method and multi-stakeholder approach to build consensus..

Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study (2023)
Journal Article
Brennan, L., Heal, C., Brown, S., Roland, D., & Rowland, A. (2023). Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study. Journal of Paediatrics and Child Health, https://doi.org/10.1111/jpc.16328

Background
High heart and respiratory rates are key indicators in many published guidelines to identify
and treat serious bacterial infection and sepsis in children but the credibility of evidence
underpinning what is considered abnormal is questi... Read More about Time to change the reference ranges of children’s physiological observations in emergency care? A prospective study.

The association between temperature, heart rate, and respiratory rate in children aged under 16 years attending urgent and emergency care settings (2022)
Journal Article
Heal, C., Harvey, A., Brown, S., Rowland, A. G., & Roland, D. (2022). The association between temperature, heart rate, and respiratory rate in children aged under 16 years attending urgent and emergency care settings. European Journal of Emergency Medicine, 29(6), 413-416. https://doi.org/10.1097/mej.0000000000000951

Background and importance Body temperature is considered an independent determinant of respiratory rate and heart rate; however, there is limited scientific evidence regarding the association. This study aimed to assess the association between temper... Read More about The association between temperature, heart rate, and respiratory rate in children aged under 16 years attending urgent and emergency care settings.

Sudden unexpected death in childhood in Greater Manchester (United Kingdom) : a five-year review (2015-2020) (2022)
Journal Article
Quinn, S., Dierckx, E., Long, T., & Rowland, A. (2022). Sudden unexpected death in childhood in Greater Manchester (United Kingdom) : a five-year review (2015-2020). Comprehensive Child and Adolescent Nursing, 45(4), 349-367. https://doi.org/10.1080/24694193.2022.2047828

The sudden, unexpected death of a child (SUDC) is a devastating experience. It is
vital that supportive and investigative services are effective and promote the best
outcomes for families.
Analysis of five years of data from 309 SUDC cases in Grea... Read More about Sudden unexpected death in childhood in Greater Manchester (United Kingdom) : a five-year review (2015-2020).

The need for children's advocacy centres : hearing the voices of children (2021)
Journal Article
Cook, D., Livesley, J., Long, T., Sam, M., & Rowland, A. (2021). The need for children's advocacy centres : hearing the voices of children. Comprehensive Child and Adolescent Nursing, https://doi.org/10.1080/24694193.2021.1989085

Children and young people (CYP) can be empowered to take on roles as agents of change in
their own communities. CYP want to be heard and should be actively involved in the coproduction, design and development of services aimed at them to ensure that... Read More about The need for children's advocacy centres : hearing the voices of children.

"Boys are like gold" : the gendered differences in sexual violence against street-involved children in southwest Cambodia (2021)
Journal Article
Davis, J., Miles, G., Eno, M., & Rowland, A. (2021). "Boys are like gold" : the gendered differences in sexual violence against street-involved children in southwest Cambodia. Journal of modern slavery (Online), 6(1), 1-35

This paper explores findings from interviews with 130 children (55 girls and 75 boys) living or working on the streets and beaches in Sihanoukville, Cambodia and discusses their vulnerabilities to sexual exploitation and other forms of violence. The... Read More about "Boys are like gold" : the gendered differences in sexual violence against street-involved children in southwest Cambodia.

Observational cohort study with internal and external validation of a predictive tool for identification of children in need of hospital admission from the emergency department : the Paediatric Admission Guidance in the Emergency department (PAGE) score (2020)
Journal Article
Rowland, A., Cotterill, S., Heal, C., Garratt, N., Long, T., Bonnett, L., …Roland, D. (2020). Observational cohort study with internal and external validation of a predictive tool for identification of children in need of hospital admission from the emergency department : the Paediatric Admission Guidance in the Emergency department (PAGE) score. BMJ Open, 10, e043864. https://doi.org/10.1136/bmjopen-2020-043864

Objectives: To devise an assessment tool to aid discharge and admission decision making in relation to children and young people in hospital urgent and emergency
care facilities, and thereby improve the quality of care that patients receive, using a... Read More about Observational cohort study with internal and external validation of a predictive tool for identification of children in need of hospital admission from the emergency department : the Paediatric Admission Guidance in the Emergency department (PAGE) score.

Exploring perceptions of parents on the use of emergency department on-site primary care services for the treatment of children with non-urgent conditions (2020)
Journal Article
Sam, M., Cook, D., Rowland, A., & Butler, J. (2021). Exploring perceptions of parents on the use of emergency department on-site primary care services for the treatment of children with non-urgent conditions. Comprehensive Child and Adolescent Nursing, 44(4), 285-302. https://doi.org/10.1080/24694193.2020.1820116

Objective:
To understand the reasons parents of children with minor conditions attend the
Children’s Emergency Department (ED), and their views about on-site paediatric
same day care (SDC) service as an alternative treatment centre.
Method:
A... Read More about Exploring perceptions of parents on the use of emergency department on-site primary care services for the treatment of children with non-urgent conditions.

Inter-rater reliability of paediatric emergency assessment : physiological and clinical features (2020)
Journal Article
Heal, C., Cotterill, S., Rowland, A., Garratt, N., Long, T., Brown, S., …Roland, D. (2021). Inter-rater reliability of paediatric emergency assessment : physiological and clinical features. Archives of Disease in Childhood, 106(2), 149-153. https://doi.org/10.1136/archdischild-2019-318664

Objective
The Paediatric Admission Guidance in the Emergency Department (PAGE) score is an assessment tool currently in development that helps predict hospital admission using components including patient characteristics, vital signs (heart rate, te... Read More about Inter-rater reliability of paediatric emergency assessment : physiological and clinical features.

Opt-out consent in children’s emergency medicine research (2020)
Journal Article
Long, T., Rowland, A., Cotterill, S., Woby, S., Heal, C., Garratt, N., …Roland, D. (2022). Opt-out consent in children’s emergency medicine research. Comprehensive Child and Adolescent Nursing, 45(1), 31-42. https://doi.org/10.1080/24694193.2020.1812766

There is global acceptance that individuals should be allowed to decide whether or not to take part in research studies, and to do so after being informed about the nature of the research and the risk that might attach to participation. The process o... Read More about Opt-out consent in children’s emergency medicine research.

Ten minutes with Professor Andrew Rowland, Lead Employer Medical Director of St Helens and Knowlsey Teaching Hospitals NHS Trust, Honorary Professor at the University of Salford, Chair of SicKids children's charity, Non-Executive Director of M’Lop Tapang and Consultant in Children’s Emergency Medicine (2020)
Journal Article
Home, J., & Rowland, A. (2021). Ten minutes with Professor Andrew Rowland, Lead Employer Medical Director of St Helens and Knowlsey Teaching Hospitals NHS Trust, Honorary Professor at the University of Salford, Chair of SicKids children's charity, Non-Executive Director of M’Lop Tapang and Consultant in Children’s Emergency Medicine. BMJ Leader, 5(2), 151-153. https://doi.org/10.1136/leader-2020-000341

Professor Rowland has several leadership roles spanning academic, NHS and
charitable organisations. This short interview discusses the impact of the COVID-19
pandemic and how his approach to leadership has changed to cope with many
challenges face... Read More about Ten minutes with Professor Andrew Rowland, Lead Employer Medical Director of St Helens and Knowlsey Teaching Hospitals NHS Trust, Honorary Professor at the University of Salford, Chair of SicKids children's charity, Non-Executive Director of M’Lop Tapang and Consultant in Children’s Emergency Medicine.

A review of the law surrounding Female Genital Mutilation Protection Orders (2020)
Journal Article
Home, J., Rowland, A., Gerry QC, F., Proudman, C., & Walton, K. (2020). A review of the law surrounding Female Genital Mutilation Protection Orders. British Journal of Midwifery, 28(7), 418-429. https://doi.org/10.12968/bjom.2020.28.7.418

Performing Female Genital Mutilation (FGM) is prohibited within the United Kingdom
by the FGM Act 2003. A mandatory reporting duty for FGM requires regulated health
and social care professionals and teachers in England and Wales to report known
ca... Read More about A review of the law surrounding Female Genital Mutilation Protection Orders.

Handling concerns raised about doctors : time for local changes (2020)
Journal Article
Rowland, A., & Mohan, K. (2020). Handling concerns raised about doctors : time for local changes. British Journal of Healthcare Management, 26(4), 1-11. https://doi.org/10.12968/bjhc.2019.0085

NHS organisations must be assured that appropriate protections and support are in place for their employees, especially when incidents occur or concerns arise. These assurances are an essential part of fostering a just and inclusive culture under an... Read More about Handling concerns raised about doctors : time for local changes.

Fine balance between pragmatism and rigidness in system approaches to acute care (2019)
Journal Article
Roland, D., Rowland, A., Cotterill, S., Heal, C., Woby, S., Garratt, N., …Long, A. (2019). Fine balance between pragmatism and rigidness in system approaches to acute care. BMJ, 367, https://doi.org/10.1136/bmj.l6226

Reluctance of the Royal College of General Practitioners to endorse NEWS2 (the second iteration of the national early warning score) has surprised some and been supported by others.1 This dichotomy over what seems to be a proved safety measure shows... Read More about Fine balance between pragmatism and rigidness in system approaches to acute care.

Defining significant childhood illness and injury in the emergency department : a consensus of UK and Ireland expert opinion (2018)
Journal Article
Lillitos, P., Lyttle, M., Roland, D., Powell, C., Sandell, J., Rowland, A., …Maconochie, I. (2018). Defining significant childhood illness and injury in the emergency department : a consensus of UK and Ireland expert opinion. Emergency Medicine Journal, 2018, #207802. https://doi.org/10.1136/emermed-2018-207802

Background: Clarifying whether paediatric early warning scores (PEWS) accurately predict significant illness is a research priority for UK and Ireland paediatric emergency medicine (EM). However, a standardised list of significant conditions to bench... Read More about Defining significant childhood illness and injury in the emergency department : a consensus of UK and Ireland expert opinion.

Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department : protocol for an observational study (2018)
Journal Article
observational study. BMC Pediatrics, 18(303), https://doi.org/10.1186/s12887-018-1268-7

Background: Increasing attendances by children (aged 0–16 years) to United Kingdom Emergency Departments (EDs) challenges patient safety within the National Health Service (NHS) with health professionals required to make complex judgements on whether... Read More about Refining and testing the diagnostic accuracy of an assessment tool (PAT-POPS) to predict admission and discharge of children and young people who attend an emergency department : protocol for an observational study.

Mandatory reporting of female genital mutilation in children in the UK (2018)
Journal Article
Malik, Y., Rowland, A., Gerry QC, F., & MacVane Phipps, F. (2018). Mandatory reporting of female genital mutilation in children in the UK. British Journal of Midwifery, 26(6), 377-386. https://doi.org/10.12968/bjom.2018.26.6.377

Background
While female genital mutilation (FGM) has been illegal in the UK since 1985, research estimated that in 2015 there were over 100 000 women and girls resident in the UK subjected to FGM.


Aims
To determine the effect of changes in... Read More about Mandatory reporting of female genital mutilation in children in the UK.

Trust your patients to be able to help you (2017)
Journal Article
Rowland, A. (2017). Trust your patients to be able to help you

How can you demonstrate true leadership when engaging with patients, members of the public and, in particular, children and young people?

‘Do, or do not. There is no try.’ (Master Yoda 896 BBY – 4 ABY)

Physical punishment of children : time to end the defence of reasonable chastisement in the UK, USA and Australia (2017)
Journal Article
time to end the defence of reasonable chastisement in the UK, USA and Australia. International Journal of Children's Rights, 25(1), 165-195. https://doi.org/10.1163/15718182-02501007

As at March 2016, 49 states had reformed their laws to clearly prohibit all corporal punishment of children (United Nations 1989) in all settings, including the home (Global Initiative to End All Corporal Punishment of Children, n.d.) By January 2017... Read More about Physical punishment of children : time to end the defence of reasonable chastisement in the UK, USA and Australia.

Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department (2016)
Journal Article
Cotterill, S., Rowland, A., Kelly, J., Lees, H., & Kamara, M. (2016). Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department. Emergency Medicine Journal, 33(11), https://doi.org/10.1136/emermed-2015-204647

Background
The Pennine Acute Trust (PAT) Paediatric Observation Priority Score (PAT-POPS) is a specific emergency department (ED) physiological and observational aggregate scoring system, with scores of 0–18. A higher score indicates greater likeli... Read More about Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department.

G16 The Paediatric Observation Priority Score (POPS): a more accurate predictor of admission risk from the Emergency Department than the Manchester Children's Early Warning System (ManChEWS) (2014)
Journal Article
Rowland, A., Cotterill, S., Lees, H., & Kelly, J. (2014). G16 The Paediatric Observation Priority Score (POPS): a more accurate predictor of admission risk from the Emergency Department than the Manchester Children's Early Warning System (ManChEWS). Archives of Disease in Childhood, 99(Suppl), A8-A8. https://doi.org/10.1136/archdischild-2014-306237.16

Background The Paediatric Observation Priority Score (POPS) is a specific Emergency Department (ED) physiological and observational aggregate scoring system, with scores of 0–18. A higher score indicates greater likelihood of admission. The Mancheste... Read More about G16 The Paediatric Observation Priority Score (POPS): a more accurate predictor of admission risk from the Emergency Department than the Manchester Children's Early Warning System (ManChEWS).

The Paediatric Observation Priority Score (POPS) : a more accurate predictor of admission risk from the emergency department than the Manchester Children’s Early Warning System (ManChEWS) (2014)
Journal Article
Rowland, A., Cotterill, S., Lees, H., & Kelly, J. (2014). The Paediatric Observation Priority Score (POPS) : a more accurate predictor of admission risk from the emergency department than the Manchester Children’s Early Warning System (ManChEWS). Archives of Disease in Childhood, 99(A8),

Background: The Paediatric Observation Priority Score (POPS) is
a specific Emergency Department (ED) physiological and observational aggregate scoring system, with scores of 0–18. A higher score indicates greater likelihood of admission. The Manches... Read More about The Paediatric Observation Priority Score (POPS) : a more accurate predictor of admission risk from the emergency department than the Manchester Children’s Early Warning System (ManChEWS).

G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up (2014)
Journal Article
Crowder, R., Rowland, A., Handford, M., Tan, S., & Stuart, M. (2014). G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up. Archives of Disease in Childhood, 99(Suppl), A15-A15. https://doi.org/10.1136/archdischild-2014-306237.34

Background and objectives: In July 2013, the Paediatric Emergency Department (ED) of a UK District General Hospital ED seeing approximately 30000 children aged under 16 years of age per year in the ED, began managing children diagnosed with a torus f... Read More about G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up.

G29(P) The management of children diagnosed with an uncomplicated clavicle fracture : broad-arm sling and written self-care information versus broad-arm sling and hospital outpatient follow-up (2014)
Journal Article
Crowder, R., Rowland, A., Tan, S., Handford, M., & Stuart, M. (2014). G29(P) The management of children diagnosed with an uncomplicated clavicle fracture : broad-arm sling and written self-care information versus broad-arm sling and hospital outpatient follow-up. Archives of Disease in Childhood, 99(Suppl), A13-A13. https://doi.org/10.1136/archdischild-2014-306237.29

Background and objectives: In July 2013 the Paediatric Emergency Department (ED) of a UK District General Hospital seeing approximately 30000 children per year aged under 16 years in the ED, began managing children diagnosed with an uncomplicated (no... Read More about G29(P) The management of children diagnosed with an uncomplicated clavicle fracture : broad-arm sling and written self-care information versus broad-arm sling and hospital outpatient follow-up.

G26(P) Gaps in provision of community paediatric primary dental healthcare : a review of the burden of disease presenting to emergency departments (2014)
Journal Article
Isba, R., Bolton, C., & Rowland, A. (2014). G26(P) Gaps in provision of community paediatric primary dental healthcare : a review of the burden of disease presenting to emergency departments. Archives of Disease in Childhood, 99(Suppl), A12-A12. https://doi.org/10.1136/archdischild-2014-306237.26

Background and objectives: In Greater Manchester, children generally have poorer dental health compared to England as a whole. There is some evidence that emergency departments are increasingly being used as provider of dental care, yet many children... Read More about G26(P) Gaps in provision of community paediatric primary dental healthcare : a review of the burden of disease presenting to emergency departments.

G167(P) Paediatric burn injury presentations to a UK district general hospital paediatric emergency department : provisions and interventions to reduce risk of attendance (2014)
Journal Article
Dasgupta, S., Baynes, J., & Rowland, A. (2014). G167(P) Paediatric burn injury presentations to a UK district general hospital paediatric emergency department : provisions and interventions to reduce risk of attendance. Archives of Disease in Childhood, 99(Suppl), A74-A74. https://doi.org/10.1136/archdischild-2014-306237.175

Background: Most burns in children are scalds. The prevalence
of abuse-related burns admitted to burns units is 10 to 14%.
Provided local burns data is available a burns injury prevention
programme is achievable. Our local population has a higher... Read More about G167(P) Paediatric burn injury presentations to a UK district general hospital paediatric emergency department : provisions and interventions to reduce risk of attendance.

The Paediatric Observation Priority Score (POPS) : a useful tool to predict likelihood of admission from the emergency department (2013)
Journal Article
Kelly, J., Rowland, A., Cotterill, S., Lees, H., & Kamara, M. (2013). The Paediatric Observation Priority Score (POPS) : a useful tool to predict likelihood of admission from the emergency department. Emergency Medicine Journal, 30(10), 877.3-878. https://doi.org/10.1136/emermed-2013-203113.29

Objectives & Background: No specific early warning score universally validated for use in all children presenting to the Emergency Department (ED) exists. POPS is a novel aggregate scoring system, designed for ED use.
Methods: Prospectively collecte... Read More about The Paediatric Observation Priority Score (POPS) : a useful tool to predict likelihood of admission from the emergency department.

1479 Referral of children from a UK district general hospital emergency department to primary care general practitioners (2012)
Journal Article
Rowland, A., & Isba, R. (2012). 1479 Referral of children from a UK district general hospital emergency department to primary care general practitioners. Archives of Disease in Childhood, 97(Suppl), A419-A420. https://doi.org/10.1136/archdischild-2012-302724.1479

Background: This preliminary audit aimed to assess the feasibility
of referring children presenting to a UK District General Hospital
Emergency Department (ED), seeing 27500 children per year, to
their own Primary Care General Practitioner (GP) fo... Read More about 1479 Referral of children from a UK district general hospital emergency department to primary care general practitioners.

1478 Attendances at the children's emergency department : an audit of two years of activity at a new, dedicated paediatric emergency department (2012)
Journal Article
Isba, R., Gibb, M., & Rowland, A. (2012). 1478 Attendances at the children's emergency department : an audit of two years of activity at a new, dedicated paediatric emergency department. Archives of Disease in Childhood, 97(Suppl), A419-A419. https://doi.org/10.1136/archdischild-2012-302724.1478

Aim: The aim of this audit was to explore patterns of attendance at
a new, dedicated, audio-visually separate paediatric emergency
department (PED) within the ED of a hospital in the North West of
England. The PED was opened in June 2009 following... Read More about 1478 Attendances at the children's emergency department : an audit of two years of activity at a new, dedicated paediatric emergency department.

1554 An educational programme focusing on paediatric fracture identification maintains a low false-negative radiograph initial report rate in emergency medicine (2012)
Journal Article
Fox, T., & Rowland, A. (2012). 1554 An educational programme focusing on paediatric fracture identification maintains a low false-negative radiograph initial report rate in emergency medicine. Archives of Disease in Childhood, 97(Suppl), A440-A440. https://doi.org/10.1136/archdischild-2012-302724.1554

Introduction: False negative radiograph reports constitute greater
than 80% of all diagnostic errors in Emergency Departments (EDs)
with reported levels of false negative initial reports around 1%.
Method: The records of all patients recalled to t... Read More about 1554 An educational programme focusing on paediatric fracture identification maintains a low false-negative radiograph initial report rate in emergency medicine.

Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic-clonic convulsions (2009)
Journal Article
Rowland, A., Gill, A., Stewart, A., Appleton, R., Al Kharusi, A., Cramp, C., & Yeung, L. (2009). Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic-clonic convulsions. Archives of Disease in Childhood, 94(9), 720-723. https://doi.org/10.1136/adc.2009.157636

Introduction: The aim of this prospective audit was to
assess the effectiveness and safety of rectal paraldehyde
in the management of acute, including prolonged, tonic–
clonic convulsions. There are very limited published data
on its effectivenes... Read More about Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic-clonic convulsions.

BMA View in BMA News 20 December 2003 (2003)
Journal Article
Macklin, D., & Rowland, A. (2003). BMA View in BMA News 20 December 2003. BMA news review (The voice of doctors), 6

Monitoring must be firm, fair and fast