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

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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).

Original languageEnglish
Pages (from-to)161-166
Number of pages6
JournalJournal of Nursing Care Quality
Issue number2
StatePublished - 2016


  • Emergency department
  • Interrater reliability
  • Intrarater reliability
  • Nurses
  • Pediatric early warning score (PEWS)
  • Pediatrics


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