Implementation of the pediatric early warning scoring system on a pediatric hematology/oncology unit

J Pediatr Oncol Nurs. Jul-Aug 2010;27(4):229-40. doi: 10.1177/1043454209358410. Epub 2010 Feb 26.


Despite improved outcomes for pediatric Hematology/Oncology patients over the past 15-20 years, sepsis and other acute events continue to cause serious illness in these children. Implementing a pediatric early warning scoring tool (PEWS) with an associated multi-disciplinary action algorithm in a pediatric Hematology/Oncology unit helped to remove barriers that prevented timely referral of children who are clinically deteriorating and requiring immediate help, enhanced multi-disciplinary team communication, and has led to a more than 3-fold increase in days between codes on the Hematology/Oncology unit.

MeSH terms

  • Algorithms
  • Child
  • Hematologic Diseases / nursing
  • Hematologic Diseases / physiopathology*
  • Humans
  • Monitoring, Physiologic*
  • Neoplasms / nursing
  • Neoplasms / physiopathology*
  • Nursing Assessment
  • Patient Care Team
  • Pediatrics*