The Cardiac Children's Hospital Early Warning Score (C-CHEWS)

J Pediatr Nurs. 2013 Apr;28(2):171-8. doi: 10.1016/j.pedn.2012.07.009. Epub 2012 Aug 15.


Inpatient pediatric cardiovascular patients have higher rates of cardiopulmonary arrests than other hospitalized children. Pediatric early warning scoring tools have helped to provide early identification and treatment to hospitalized children experiencing deterioration thus preventing arrests from occurring. However, the tools have rarely been used and have not been validated in the pediatric cardiac population. This paper describes the modification of a pediatric early warning scoring system for cardiovascular patients, the implementation of the tool, and its companion escalation of care algorithm on an inpatient pediatric cardiovascular unit.

MeSH terms

  • Adolescent
  • Algorithms
  • Boston
  • Cardiac Care Facilities
  • Cardiovascular Diseases / complications
  • Cardiovascular Diseases / nursing*
  • Child
  • Child, Preschool
  • Early Diagnosis
  • Electronic Health Records
  • Heart Arrest / prevention & control*
  • Hospital Rapid Response Team
  • Hospitals, Pediatric
  • Humans
  • Infant
  • Infant, Newborn
  • Nursing Assessment
  • Pilot Projects
  • Severity of Illness Index*