The Texas Children's Hospital Pediatric Advanced Warning Score as a predictor of clinical deterioration in hospitalized infants and children: a modification of the PEWS tool

Donnett Bell; Anh Mac; Yvette Ochoa; Mary Gordon; Mary Ann Gregurich; Tangula Taylor

doi:10.1016/j.pedn.2013.04.005

The Texas Children's Hospital Pediatric Advanced Warning Score as a predictor of clinical deterioration in hospitalized infants and children: a modification of the PEWS tool

J Pediatr Nurs. 2013 Nov-Dec;28(6):e2-9. doi: 10.1016/j.pedn.2013.04.005. Epub 2013 May 14.

Authors

Donnett Bell¹, Anh Mac, Yvette Ochoa, Mary Gordon, Mary Ann Gregurich, Tangula Taylor

Affiliation

¹ Texas Children's Hospital, Houston, TX. Electronic address: [email protected].

PMID: 23685263
DOI: 10.1016/j.pedn.2013.04.005

Abstract

The purpose of this study was to examine the psychometric properties of the Texas Children's Hospital Pediatric Advanced Warning Score (PAWS) instrument as an indicator of clinical deterioration in infants and children.

Design and methods: A retrospective chart review of 150 infants and children was performed.

Results: The overall Cronbach's alpha score was 0.75. The estimate of interrater reliability was 0.740.

Implications: The Texas Children's Hospital Pediatric Advanced Warning Score instrument was found to be reliable and valid.

Keywords: Early warning score; Pediatric clinical deterioration; Pediatric safety; Pediatric warning score; Risk assessment; Screening tool.

MeSH terms

Child
Child Welfare
Health Status Indicators*
Hospitalization
Hospitals, Pediatric
Humans
Infant
Nursing Assessment / methods*
Psychometrics
Retrospective Studies
Severity of Illness Index
Texas