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PAWS for thought
  1. Jessica Morgan1,2,
  2. Elizabeth Day1,
  3. Robert Phillips1,2
  1. 1Department of Paediatric Haematology and Oncology, Leeds Teaching Hospitals Trust, Leeds, UK
  2. 2Centre 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}

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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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