Table 3 Summary of PEWS systems used within each hospital
From: Implementing paediatric early warning scores systems in the Netherlands: future implications
General policy when to use PEWS | Cut-off points and associated actions | |
|---|---|---|
Hospital 1 | High risk patient every 8 h PEWS ≤2 every 24 h | PEWS 4–5: assess PEWS every 4 h PEWS 6–7: assess PEWS every hour PEWS ≥8: consult pediatrician |
Hospital 2 | All patients every 8 h | PEWS 2: assess PEWS every 3 h PEWS 3: assess PEWS every hour and consult attending physician PEWS 4–5: call pediatrician and attending physician PEWS 6: consult with pediatrician within 30 min |
Hospital 3 | Patients on monitors every 8 h Other patients at least once, on admissions | PEWS ≥3: call pediatrician and assess PEWS every 2 h |
Hospital 4 | All patients every 8 h | PEWS 3: consider consulting pediatrician or attending physician PEWS ≥4: consult with pediatrician within 15 min |
Hospital 5 | All patients twice in 24 h | PEWS 3–4: re-assess PEWS after 4 h, consider assessment of blood pressure and O2 saturation PEWS 5–6: call pediatrician and measure blood pressure and O2 saturation |