Metformin use reduction in mild to moderate renal impairment: possible inappropriate curbing of use based on food and drug administration contraindications.

assignments, as those close together were still poorly correlated. More likely, physicians were taking into account variables not contained in the MEWS, in assigning a PAR score. We conclude that the combined use of PAR and MEWS is more accurate than MEWS alone. A generalizable way to incorporate clinical judgment into aggregated weighted scoring systemson thewardsmay improvedetectionof clinicaldeterioration and assistwith timelymobilizationof resources to address the etiology of clinical deterioration.