BCEHS Adoption of BC Pediatric Early Warning Systems

Pediatric Early Warning Systems (PEWS) are used internationally to promote early identification and mitigation of deterioration in hospitalized pediatric patients. BC health authority leaders and clinicians have identified the implementation of PEWS as a high priority in hospitals that care for children across sites at all Tiers of Service.

The Child Health BC Steering Committee endorsed a standardized approach to the development, implementation and evaluation of PEWS in BC hospitals (BC PEWS) .  
BC PEWS is a five-component system that provides a standardized framework and language to identify potential deterioration in a child, mitigate the risk and escalate care as needed as early as possible.  

Child Health BC in collaboration with the BC Regional Health Authorities, have become the first jurisdiction in North America to adapt a province-wide standardized early warning system for pediatrics. To date: 
•    50 hospitals have implemented BC PEWS in their inpatient units.
•    97 hospitals/health centers & 7 First Nations Health Authority Nursing Outposts have implemented BC PEWS ED in their Emergency Departments
•    The inpatient implementation was comprehensively evaluated after one year, showing positive outcomes overall with some opportunity for further development.
•    A research pilot at Richmond Hospital Emergency Department (ED) demonstrated the potential value of using PEWS in the ED and has been published in BMC Emergency Medicine.

References

ChildhealthBC. (2023). Pediatric early warning system (PEWS). CHBC. https://www.childhealthbc.ca/initiatives/pediatric-early-warning-system-pews