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All Journal Nurse Media Journal of Nursing MEDISAINS Nursing News : Jurnal Ilmiah Keperawatan Belitung Nursing Journal JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI Proceedings of the International Conference on Applied Science and Health Jurnal E-Komtek Indonesian Journal of Global Health research Jurnal Ilmiah Keperawatan Altruistik Jurnal Menara Medika Advance Sustainable Science, Engineering and Technology (ASSET) An Idea Health Journal Nursing Information Journal An Idea Nursing Journal Jurnal Keperawatan dan Kebidanan Nasional Jurnal Kesehatan dr. Soebandi International Journal of Nursing Information Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Ilmiah Keperawatan Altruistik Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Indonesian Journal of Global Health Research
Mega Hasanul Huda
Universitas Indonesia
Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Energy Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Effectiveness of the Pediatric Early Warning Score (PEWS) in Improving Triage Accuracy among Pediatric Patients in the Emergency Department: A Systematic Review Mariam Efendi; Allenidekania Allenidekania; Mega Hasanul Huda; Ayu Widya Lestari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2435

Abstract

Changes in children's health status in the Emergency Department (ED) often occur suddenly, progressively, and are difficult to recognize due to children's limited verbal communication and non-specific clinical manifestations. This condition triggers a high risk of triage errors (mistriage), especially in general EDs, leading to delayed treatment and increased mortality. The Pediatric Early Warning Score (PEWS) assessment system has the potential to be a structured solution to improve assessment accuracy through objective monitoring of physiological parameters. This study aims to evaluate the effectiveness of implementing PEWS in improving triage accuracy for pediatric patients in the emergency department through a systematic review. This study employed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted across the PubMed, Scopus, ScienceDirect, Cochrane Library, and ProQuest databases for articles published between 2021 and 2025. The search strategy combined Medical Subject Headings (MeSH) terms and keywords, including "Pediatric Early Warning Score" OR "PEWS" AND "pediatric triage" OR "emergency department" OR "clinical deterioration" OR "early detection" OR "hospital admission" OR "critical care" OR "pediatric emergency". Articles were selected according to predefined inclusion criteria, and their methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. A total of 17 articles were included in the review. The findings demonstrated that the implementation of the Pediatric Early Warning Score (PEWS) enhances the early detection of clinical deterioration in pediatric patients and improves triage accuracy in emergency departments. Most studies reported that PEWS has good sensitivity and specificity for predicting the need for critical care admission, thereby facilitating faster and more accurate clinical decision-making. Furthermore, the use of PEWS improves communication among healthcare professionals and enhances pediatric patient safety.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfanira Setiawan Alfin Nugroho Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Astuti Astuti Yuni Nursasi Atik Setiawati Atun Roudatul Ma’rifah Ayu Widya Lestari Ayuni Rizka Utami Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Defi Efendi Desti Elza Muslimah Desy Rasmiyani Dewi Astika Rahmadhani Dewi Astika Ramadhani Dewi Hayati Dewi Irianti Elisa Islami Putri Endah Dessirya Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Gita Sari Aryani Gustika Arnils Happy Hayati Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Ina Islamia Ina Islamia Intan Asri Nurani Jojor Sihotang Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Kusnul Hasanah Lhesmi Tri Yana Putri S Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Zakuan Agung Maria Margarita Oratmangun Mariam Efendi Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Novia Pratiwi Nugroho, Alfin Nur Agustini Nurani, Intan Asri Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmadhani, Dewi Astika Rahmasari, Syifa Widya Raudha Ilmi Farid Risna Ningsih Riswal Hanafi Siregar Rita Wahyuni Robiyatul Adawiyah Robiyatul Adawiyah Roselyn Chipojola SANTOSO SANTOSO Setiawati, Atik Shahylannanda Tito Yuwono Siti Chodidjah Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wanda , Dessie Wati, Alfah Ratna Widhiastuti, Erma Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra