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PAWS for thought
  1. Jessica Morgan1,2,
  2. Elizabeth Day1,
  3. Robert Phillips1,2
  1. 1 Department of Paediatric Haematology and Oncology, Leeds Teaching Hospitals Trust, Leeds, UK
  2. 2 Centre for Reviews and Dissemination, University of York, York, UK
  1. Correspondence to Dr Jessica Morgan, Department of Paediatric Haematology and Oncology, Leeds Teaching Hospitals Trust, Leeds LS1 3EX, UK; jem539{at}york.ac.uk

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Paediatric Advanced Warning Scores (PAWS), or Paediatric Early Warning Scores (PEWS), are scales that are based on clinical observations intended to predict deterioration. There are a variety of tools in use in the UK. Although standards for such tools have been suggested,1 ,2 a systematic review has made it clear that scores were lacking in validity and reliability.3 The use of such tools has increased over time and broadened to include sub-specialty locations with a higher risk of acute deterioration.4

We undertook a case-note review of the prevalence of raised PAWS (≥3; the trigger for medical review) and clinician's responses …

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