Escalation of care in children at high risk of clinical deterioration in a tertiary care children’s hospital using the Bedside Pediatric Early Warning System

Table 1 Score matched care recommendations for BedsidePEWS ≥ 7

BedsidePEWS score range	BedsidePEWS = 7–8	BedsidePEWS > 8
Vital signs documentation	15–60 min	15 min (15–60 min if stable*)
Nursing re-evaluation	2 h (4 h if stable*)	15 min
Medical evaluation	2 h (4 h if stable*)	15 min
Type of monitoring	ECG, SpO2	ECG, SpO2
PICU consult	Evaluate	Evaluate
Additional patients of same risk score/nurse	0–1 patients	0

Note* this recommendation is applied to children who remain within this risk range after the first assessment
ECG electrocardiogram monitoring, SpO2 peripheral oxygen saturation, PICU Pediatric Intensive Care Unit

ISSN: 1471-2431