Table 5.

Institutional outcomes.

Cost Reduction	We need less resources … we are spending less (Nurse, Cuenca)
	It has resulted in reduction of spending, in hospitalization, in used treatments, the situation of the hospital has been highly improved in that part (Ward Physician, Xalapa)
Emphasis on High-Quality Patient Care	[PEWS] is a strength … moving forward to quality and safety of the patient as well as the institution (Nurse, San Luis Potosi)
	[PEWS] has given us a change in the culture of attention (Nurse, Xalapa)
	This was the example to have bigger or better projects in quality improvement in order to help us with the rest of the processes at the hospital (Ward Physician, Lima)
Awards & Accolades	They gave an award for continued quality improvement from the Ministry (Nurse, San Salvador)
	We were nominated a center of excellence in [PEWS] for Latin America. I think this is one of the biggest achievements, reference for Latin America. (Ward Physician, Lima)
Opportunities for Collaboration	We go outside to train other institutions both in the country and abroad … so [PEWS] grew beyond the hospital and we are very proud as an institution (Ward Physician, Lima)
	They have to come here and we have to go there so we can exchange knowledge and improve every day (Ward Physician, Cuenca)