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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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