“The impact of a modified New Zealand Early Warning Score (M–NZEWS) and NZEWS on ward patients triggering a medical emergency team activation: A mixed methods sequential design”

This chapter provides an overview of the development and expansion of critical care, to include early intervention and enhancement of recovery. This is based on the patient’s acuity and need for intervention rather than their location. It includes early recognition of, and response to, acute deterioration in patients in order to prevent irreversible organ damage or death. The use of tools such as the National Early Warning Score (NEWS) to identify these patients is described. The chapter covers the critical care outreach and medical emergency team concepts, as well as surviving sepsis and avoiding acute kidney injury initiatives. Peri-operative optimization to mitigate the impact of surgery and the need to follow up patients post-critical care admission to enhance recovery and prevent re-admission are also included.

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Predictive powers of the Modified Early Warning Score and the National Early Warning Score in general ward patients who activated the medical emergency team

PLoS ONE ◽

10.1371/journal.pone.0233078 ◽

2020 ◽

Vol 15 (5) ◽

pp. e0233078

Author(s):

Jee Hwan Ahn ◽

Youn Kyung Jung ◽

Ju-Ry Lee ◽

You Na Oh ◽

Dong Kyu Oh ◽

...

Keyword(s):

Early Warning ◽

Medical Emergency Team ◽

General Ward ◽

Early Warning Score ◽

Medical Emergency ◽

Emergency Team ◽

National Early Warning Score

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A laboratory‐derived early warning score for the prediction of in‐hospital mortality, ICU admission, Medical Emergency Team activation and Cardiac Arrest in general medical wards

Internal Medicine Journal ◽

10.1111/imj.14613 ◽

2019 ◽

Author(s):

Hasanka Ratnayake ◽

Douglas Johnson ◽

Johan Martensson ◽

Que Lam ◽

Rinaldo Bellomo

Keyword(s):

Cardiac Arrest ◽

Hospital Mortality ◽

Early Warning ◽

Medical Emergency Team ◽

Early Warning Score ◽

Medical Emergency ◽

Emergency Team ◽

Icu Admission ◽

Medical Wards

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A Comparison of the Ability of the Physiologic Components of Medical Emergency Team Criteria and the U.K. National Early Warning Score to Discriminate Patients at Risk of a Range of Adverse Clinical Outcomes*

Critical Care Medicine ◽

10.1097/ccm.0000000000002000 ◽

2016 ◽

Vol 44 (12) ◽

pp. 2171-2181 ◽

Cited By ~ 30

Author(s):

Gary B. Smith ◽

David R. Prytherch ◽

Stuart Jarvis ◽

Caroline Kovacs ◽

Paul Meredith ◽

...

Keyword(s):

At Risk ◽

Clinical Outcomes ◽

Early Warning ◽

Medical Emergency Team ◽

Early Warning Score ◽

Medical Emergency ◽

Emergency Team ◽

Patients At Risk ◽

National Early Warning Score

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Improving rapid response system performance in a Chinese Joint Commission International Hospital

Journal of International Medical Research ◽

10.1177/0300060519850452 ◽

2019 ◽

Vol 47 (7) ◽

pp. 2961-2969

Author(s):

Minfei Yang ◽

Lanlan Zhang ◽

Yuwei Wang ◽

Yue Zhan ◽

Xiaofei Zhang ◽

...

Keyword(s):

Medical Emergency Team ◽

Joint Commission ◽

Rapid Response ◽

Medical Emergency ◽

Rapid Response System ◽

Serious Adverse Events ◽

Emergency Team ◽

Response System ◽

Joint Commission International ◽

The Impact

Objective To assess the impact of a regional rapid response system (RRS) implemented in a Chinese Joint Commission International Hospital on the timely treatment of patients with serious adverse events (SAEs). Methods Clinical SAEs, activation periods, reasons for RSS activation, and patient outcomes were assessed using SAE response sheets at admission to the hospital and over 31 months of follow-up. Results We found that 192 events were called by medical staff and 6 were called by auxiliary staff. Reasons for the 385 RRS activations included: unconsciousness (133; 34.5%), and airway obstruction and absent carotid pulse (49 each; 12.7%). The average arrival time of the medical emergency team was 2.4 ± 0.1 minutes. There were 123 (62.1%) RRS activations during daytime working hours (8:00–17:00); CPR was performed in 86 (43.4%) cases. Outcomes of RRS were: vital signs stabilized in 82 (41.4%) patients and 61 (30.8%) patients were transferred to ICU. Conclusion Our experience showed that the regional RRS has led to better integrated multidisciplinary cooperation and reduced time for treating patients with SAEs, resulting in success of the RRS.

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