Table 3.

Impact of PEWS on provider emotions.

	SJCRH	UNOP
PEWS scores alerting providers and encouraging action	“I think that’s built into the structure with the recognition that the [PEWS] is to identify those patients who are risk of decompensating that we’re worried about” (ward provider, SJCRH) “I feel like if they’re repeatedly a [PEWS] of a five there’s something wrong” (nurse, SJCRH)	“For us, it is worrying to have a [PEWS] of 4, 5, or 6” (nurse, UNOP) “When I see the [PEWS] report and the nurse shows worries, I call her” (ward provider, UNOP) “What I really look [at] is the [PEWS]. If it’s a 3, the child has tachycardia or something [else] is wrong … at that moment I check the vitals to look closer” (ward provider, UNOP)
PEWS scores contributing to alarm fatigue	“PICU people may be getting a little more burnout from having to do so many consults with the [PEWS] of five” (nurse, SJCRH) “I feel poorly when I go to a [PEWS] and I’m kind of like, yeah the kid looks fine” (PICU provider, SJCRH)