Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change

Jessica Lawien; Jennifer Welter; Jamie Aranda; Amy Zosel; Tina Nielsen; Natalie S. McAndrew

doi:10.1016/j.ienj.2026.101761

February 9, 2026International Emergency NursingOpen Access

Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change

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Key Points

This research aims to evaluate the effectiveness of the Alcohol Withdrawal Severity Scale (PAWSS) in an emergency department setting.
Implemented PAWSS screening tool in the emergency department
Monitored emergency department length of stay (ED LOS)
Tracked ICU admissions related to alcohol withdrawal
Assessed medication use for alcohol withdrawal treatment
Decreased emergency department length of stay (ED LOS) for patients
Reduced number of ICU admissions for alcohol withdrawal
Lowered use of medications for treating alcohol withdrawal

Implication

Evidence-based practice change shows decreased alcohol withdrawal severity in patients, suggesting effective screening methods.

Abstract

Implementation of PAWSS resulted in decreased ED LOS, decreased ICU admissions, and decreased use of medications for the treatment of alcohol withdrawal. These promising results suggest PAWSS is a valuable screening tool for ED patients with the potential for experiencing alcohol withdrawal.

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Cite This Study

Lawien et al. (2026) studied this question.

synapsesocial.com/papers/698ebeb185a1ff6a93016041 https://doi.org/10.1016/j.ienj.2026.101761

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Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change

Key Points

Implication

Abstract

Discussion

Cite This Study

Prediction of Alcohol Withdrawal Severity Scale (PAWSS) for patients cared for in an emergency department/Level I Trauma Center: An evidence-based practice change

Key Points

Implication

Abstract

Discussion

Cite This Study

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