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Audit of Paediatric Early Warning Score – May 06. Dr S Pradhan – Paediatric SpR. Facilitated by: The Clinical Audit & Effectiveness Department. Introduction . Objectives: To ensure guidelines are being followed. Rationale:
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Audit of Paediatric Early Warning Score – May 06 Dr S Pradhan – Paediatric SpR Facilitated by: The Clinical Audit & Effectiveness Department
Introduction Objectives: • To ensure guidelines are being followed. Rationale: • To ascertain whether PEWS is helpful in predicting clinical deterioration.
Criterion 1 (n = 22) Child admitted to HDU or ITU will have PEWS checked regularly. (No exceptions) Of the eight that didn’t have PEWS checked, 3 had neuro observations done and one had HDU and anaesthetic chart.
Criterion 2 (n = 14) The guideline for action will be followed depending on the score. (No exceptions)
Discussion How does the PEWS score correlate with clinical deterioration? • PEWS score correlated with clinical condition in 10 out of 14 children.
Conclusions • PEWS correlates with clinical condition. • PEWS improved with clinical improvement. • At lower scores (0, 1) there is poor correlation. • Higher scores (over 2) definitely indicate an unwell child. • A score of >4 correlates with sick child. • PEWS is a useful tool to detect clinical deterioration.
