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

PurposeThe 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.Design and methodsA retrospective chart review of 150 infants and children was performed.ResultsThe overall Cronbach's alpha score was 0.75. The estimate of interrater reliability was 0.740.ImplicationsThe Texas Children's Hospital Pediatric Advanced Warning Score instrument was found to be reliable and valid.