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Fig 1.

Hypothesis of the EWS intervention.

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Fig 2.

PRISMA diagram summarizing study selection process.

Most of the studies that assessed the effectiveness of EWS in improving clinical outcomes were of quasi-experimental design.

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Table 1.

Summary of included studies.

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Table 1 Expand

Fig 3.

Quality assessment of included studies (n = 17).

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Table 2.

Outcomes assessed by the EWS effectiveness studies (n = 6).

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Table 2 Expand