IMPLEMENTING AN EARLY WARNING SCORE SYSTEM IN A CENTRAL GENERAL HOSPITAL IN PORTUGAL – A PRELIMINARY OBSERVATIONAL STUDY

2011 ◽  
Vol 22 ◽  
pp. S22
Author(s):  
Nuno Correia ◽  
Rui Paulo Rodrigues ◽  
Márcia Sá ◽  
Luís Lopes
Keyword(s):  
Observational Study ◽  
General Hospital ◽  
Early Warning ◽  
Early Warning Score ◽  
Score System

scholarly journals IMPLEMENTATION OF EARLY WARNING SYSTEM IN NURSING WARD: A LITERATURE REVIEW

2021 ◽  
Vol 10 (1) ◽  
pp. 126-134
Author(s):  
Meli Diana ◽  
Dimas Hadi Prayoga ◽  
Dini Prastyo Wijayanti
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Scoring System ◽  
Early Warning System ◽  
Sudden Cardiac Arrest ◽  
Warning System ◽  
High Rate ◽  
Early Warning Score ◽  
Score System ◽  
Emergency Detection

Background: Hospital service is a process that involves all elements in the hospital including nurses and inpatient rooms or nursing wards. Different inpatient conditions will be treated in separated wards, by the same token patients with unstable conditions are admitted in intensive care units, this procedure aims to reduce the mortality incidence due to sudden cardiac arrest, therefore early detection of patients’ clinical deterioration using the early warning score system performed by the nurse in the nursing wards is required. Objective: This review study is a summary of the early warning system implementation in the nursing wards. Design: The data was obtained from international journal providers Proquest and Ebsco databases. The author accessed unair.remotexs.co website. Review Methods: Narative Review. Results: Early warning score is an effective intervention for emergency detection in patients. Conclusion: Early detection clinical emergency or known as the Early Warning Score System (EWSS) is the application of a scoring system for early detection of patient's condition before a worsening situation occurs. The implementation of this scoring system is necessary due to the high rate of deterioration of patient conditions that requiring immediate management to prevent profound deterioration and its subsequent adverse effect Keywords : Early warning system;nurse care;literatur;review

scholarly journals VALIDITY OF MODIFIED EARLY WARNING SCORE SYSTEM IN PREDICTING NEED OF HIGHER LEVEL OF CARE IN ADULT PATIENTS ON GENERAL MEDICAL FLOORS

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A615
Author(s):  
Syed Arsalan Zaidi ◽  
Syed Hussain ◽  
Urvishkumar Pasrija ◽  
Bibhu Koirala ◽  
Fnu Abhishek
Keyword(s):  
Early Warning ◽  
Adult Patients ◽  
Early Warning Score ◽  
Level Of Care ◽  
Score System

scholarly journals Association between National Early Warning Scores in primary care and clinical outcomes: an observational study in UK primary and secondary care

2020 ◽  
Vol 70 (695) ◽  
pp. e374-e380 ◽  
Author(s):  
Lauren J Scott ◽  
Niamh M Redmond ◽  
Alison Tavaré ◽  
Hannah Little ◽  
Seema Srivastava ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Clinical Outcomes ◽  
Early Warning ◽  
Secondary Care ◽  
Early Warning Score ◽  
Medical Review ◽  
News Values ◽  
Process Measures ◽  
Sepsis Diagnosis

BackgroundNHS England has mandated use of the National Early Warning Score (NEWS), more recently NEWS2, in acute settings, and suggested its use in primary care. However, there is reluctance from GPs to adopt NEWS/NEWS2.AimTo assess whether NEWS calculated at the point of GP referral into hospital is associated with outcomes in secondary care.Design and settingAn observational study using routinely collected data from primary and secondary care.MethodNEWS values were prospectively collected for 13 047 GP referrals into acute care between July 2017 and December 2018. NEWS values were examined and multivariate linear and logistic regression used to assess associations with process measures and clinical outcomes.ResultsHigher NEWS values were associated with faster conveyance for patients travelling by ambulance, for example, median 94 minutes (interquartile range [IQR] 69–139) for NEWS ≥7; median 132 minutes, (IQR 84–236) for NEWS = 0 to 2); faster time from hospital arrival to medical review (54 minutes [IQR 25–114] for NEWS ≥7; 78 minutes [IQR 34–158] for NEWS = 0 to 2); as well as increased length of stay (5 days [IQR 2–11] versus 1 day [IQR 0–5]); intensive care unit admissions (2.0% versus 0.5%); sepsis diagnosis (11.7% versus 2.5%); and mortality, for example, 30-day mortality 12.0% versus 4.1% for NEWS ≥7 versus NEWS = 0 to 2, respectively. On average, for patients referred without a NEWS value (NEWS = NR), most clinical outcomes were comparable with patients with NEWS = 3 to 4, but ambulance conveyance time and time to medical review were comparable with patients with NEWS = 0 to 2.ConclusionThis study has demonstrated that higher NEWS values calculated at GP referral into hospital are associated with a faster medical review and poorer clinical outcomes.

scholarly journals Development and validation of early warning score system: A systematic literature review

2020 ◽  
Vol 105 ◽  
pp. 103410 ◽  
Author(s):  
Li-Heng Fu ◽  
Jessica Schwartz ◽  
Amanda Moy ◽  
Chris Knaplund ◽  
Min-Jeoung Kang ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Early Warning ◽  
Early Warning Score ◽  
Score System ◽  
System A ◽  
Development And Validation

scholarly journals The Value of Modified Early Warning Score (MEWS) in Surgical In-Patients: A Prospective Observational Study

2006 ◽  
Vol 88 (6) ◽  
pp. 571-575 ◽  
Author(s):  
J Gardner-Thorpe ◽  
N Love ◽  
J Wrightson ◽  
S Walsh ◽  
N Keeling
Keyword(s):  
Risk Management ◽  
Observational Study ◽  
Critically Ill ◽  
Early Warning ◽  
Critically Ill Patients ◽  
Prospective Observational Study ◽  
Early Warning Score ◽  
Management Tool ◽  
Quality And Safety ◽  
Surgical Ward

INTRODUCTION The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients. PATIENTS AND METHODS A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU. RESULTS Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU. CONCLUSIONS The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients.

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