title: The Texas Children's Hospital Pediatric Advanced Warning Score as a predictor of clinical deterioration in hospitalized infants and children: a modification of the PEWS tool.
abstract: The purpose of this study was to examine the psychometric properties of the Texas Children's Hospital Pediatric Advanced Warning Score (PAWS) instrument as an indicator of clinical deterioration in infants and children.
  
  
  METHODS
  A retrospective chart review of 150 infants and children was performed.
  
  
  RESULTS
  The overall Cronbach's alpha score was 0.75. The estimate of interrater reliability was 0.740.
  
  
  CONCLUSIONS
  The Texas Children's Hospital Pediatric Advanced Warning Score instrument was found to be reliable and valid.
authors.affiliation: Texas Children's Hospital, Houston, TX. Electronic address: dxbell@texaschildrenshospital.org.
authors.forename: Donnett
authors.initials: D
authors.lastname: Bell
authors.forename: Anh
authors.initials: A
authors.lastname: Mac
authors.forename: Yvette
authors.initials: Y
authors.lastname: Ochoa
authors.forename: Mary
authors.initials: M
authors.lastname: Gordon
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Gregurich
authors.forename: Tangula
authors.initials: T
authors.lastname: Taylor
mesh_terms: D002648:Child; D002669:Child Welfare; D006305:Health Status Indicators; D006760:Hospitalization; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D009730:Nursing Assessment / Q000379:methods*; D011594:Psychometrics; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013781:Texas
keywords: Early warning score; Pediatric clinical deterioration; Pediatric safety; Pediatric warning score; Risk assessment; Screening tool