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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.

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.

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.

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.

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.