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What does ‘PEWing’ or ‘PEWsing’ mean? A new word in paediatrics
  1. Catherine Diskin1,
  2. Rachel MacDonell2,
  3. Blaize Whelan1,
  4. Orla O' Shea1,
  5. John J Fitzsimons3,
  6. David Vaughan4,
  7. David Coghlan1
  1. 1 Department of Paediatrics, Children's Health Ireland at Tallaght University Hospital, Dublin, Ireland
  2. 2 Quality Improvement Division, Royal College of Physicians of Ireland, Dublin, Ireland
  3. 3 Quality Improvement Division, Health Service Executive, Dublin, Ireland
  4. 4 Children's Health Ireland, Dublin, Ireland
  1. Correspondence to Dr Catherine Diskin, Department of Paediatrics, Children's Health Ireland at Tallaght University Hospital, Dublin, Ireland; diskincatherine{at}

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Since 2015, a national Paediatric Early Warning System (PEWS) has been used in acute paediatric settings in the Ireland. At a national PEWS workshop, the terms ‘pewing’ and ‘pewsing’ were noted to have been used or overheard in clinical conversations in some settings. We sought to understand the term ‘pewing’ or ‘pewsing’ interviewing 40 frontline paediatric nurses and doctors in a tertiary hospital and 20 from other regional sites. We asked, ‘what does the term ‘pewing’ or ‘pewsing’ mean to you?’ …

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  • Contributors CD recognised the use of the word 'Pewing', draft and revised the manuscript. RMcD, in her role as National PEWS coordinator assessed understanding of the word 'Pewsing' at multiple sites as part of national quality improvement project following introduction of PEWS. BW and OO’S assessed understanding of the word 'Pewsing' at CHI at Tallaght University Hospital. JJF as Clinical Director for Quality Improvement directed national introduction of PEWS and its embedding within Irish Paediatric culture including encouragement of stopping use of word 'pewing or pewsing' DV and DC as Patient Safety Director at CHI and General Paediatric Lead at CHI provided oversight to this project encouraging identification and understanding of the problem and intervention to address same. All authors edited and reviewed submitted manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.