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Feasibility And Reliability Of Pediatric Early Warning Score In The Emergency Department

Xun Niu,Bradley Tilford,Elizabeth Duffy,Hitomi Kobayashi, Kelley Ryan,Mindi Johnson, Bethany Page, Claire Martin, Rhonda Caldwell,Prashant Mahajan

JOURNAL OF NURSING CARE QUALITY(2016)

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Abstract
Pediatric early warning scores in an emergency department may be used in routine patient evaluation of illness severity and resource allocation, thereby positively impacting quality and safety in pediatric care. This prospective nursing study assessed the feasibility and reliability of pediatric early warning scores in a busy, inner-city, level 1 trauma center pediatric emergency department. The pediatric early warning scores demonstrated high interrater reliability (degree of agreement among scorers) (intraclass correlation coefficient = 0.91) and intrarater reliability (multiple repetitions by a single scorer) (intraclass correlation coefficient = 0.90).
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Key words
emergency department,pediatrics,intrarater reliability,interrater reliability,pediatric early warning score (PEWS),nurses
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