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

Japan's Earthquake Early Warning System on 11 March 2011: Performance, Shortcomings, and Changes

2013 ◽  
Vol 29 (1_suppl) ◽  
pp. 341-368 ◽  
Author(s):  
Yukio Fujinawa ◽  
Yoichi Noda
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Lead Time ◽  
Warning System ◽  
Earthquake Early Warning ◽  
Island Arc ◽  
High Rate ◽  
Monitoring Networks ◽  
Earthquake Early Warning System ◽  
Improve Analysis

A well-developed public earthquake early warning (EEW) system has been operating in Japan since October 2007. At the time of the 2011 Tohoku-oki earthquake and tsunami (also known as 3.11), several million people near the epicenter received the EEW about 15 to 20 seconds before the most severe shaking occurred, and many more people in surrounding districts had greater lead time before less severe shaking started. Some 90% of these people were able to take advance actions to save their own lives and those of family members or to take other actions according to prior planning. Some actions were taken based on intuitive responses to the alerts. This high rate of effectiveness is assured to be the result of education regarding the EEW system, both in schools and in society at large. In spite of some shortcomings, the proven effectiveness of EEW has led Japan to strengthen the already extensive seismic- and tsunami-monitoring networks offshore, east of the Japan island arc at 150 sites, and to provide a special terminal for advanced uses of EEW in schools with more than 53,000 students. Efforts are also underway to improve analysis and dissemination schemes.

scholarly journals Perbandingan Pediatric Early Warning Score dengan Nursing Early Warning Score System dalam Mengidentifikasi Deteriorasi Klinis Pasien Anak di Rumah Sakit Cipto Mangunkusumo

Sari Pediatri ◽  
2020 ◽  
Vol 21 (6) ◽  
pp. 333
Author(s):  
Rismala Dewi ◽  
Iqbal Zein Assyidiqie ◽  
Bambang Supriyatno
Keyword(s):  
Early Warning ◽  
Scoring System ◽  
Early Warning Score ◽  
Score System ◽  
Consecutive Sampling

Latar belakang. Berbagai macam metode dapat digunakan untuk menilai deteriorasi klinis pasien anak yang masuk di rumah sakit. Skor nursing early warning scoring system (NEWSS) merupakan skor penilaianyang dimodifikasi dari penilaian dewasa, sedangkan pediatric early warning score (PEWS) dikembangkan khusus untuk menilai pasien anak. Penggunaan PEWS untuk mengevaluasi derajat perburukan klinis pasien anak beberapa jam sebelum pasien jatuh pada kondisi kritis. Hingga saat ini, penelitian dan penggunaan skor PEWS masih belum terlalu banyak di Indonesia.Tujuan. Membandingkan skor PEWS dan NEWSS dalam mengidentifikasi deteriorasi klinis pada pasien anak di rumah sakit.Metode. Penelitian dilakukan dengan desain uji potong lintang pada pasien anak yang masuk ke instalasi gawat darurat RSCM sejak bulan November 2019-Januari 2020. Pengambilan subjek secara consecutive sampling dengan kriteria inklusi usia anak 0-18 tahun dan skor NEWSS . Hasil. Diperoleh 81 subjek yang memenuhi kriteria. Sebagian besar dari subjek berjenis kelamin laki (58%), rentang usia toddlers (1-3 tahun) (27%), dengan kasus infeksi sebagai diagnosis pasien terbanyak (53,1%). Sebagian besar pasien juga datang akibat masalah respirasi (31%). Didapatkan skor PEWS berhubungan erat dengan kejadian deteriorasi klinis pasien anak. Seluruh pasien dengan skor PEWS >7 mengalami perburukan klinis. Hasil penelitian ini juga menunjukkan bahwa sensitivitas PEWS lebih baik dibandingkan dengan NEWSS (0,80; 95% CI 0,66-0,90 vs 0,58; 95% CI 0,44-0,72) dan kedua sistem skor memiliki spesifisitas yang sama baiknya (0,93 95% CI 0,77-0,99 vs 0,96; 95% CI 0,82-0,99).Kesimpulan. Kemampuan PEWS lebih baik untuk mendeteksi deteriorasi klinis pada pasien anak bila dibandingkan dengan NEWSS.

scholarly journals Utilization of the IoT-based early warning system (EWS) for early detection of floods in Setu District, South Tangerang City

2021 ◽  
Vol 6 (8) ◽  
pp. 1414-1419
Author(s):  
Wahyu Sejati ◽  
Ning Adiasih ◽  
Tjhwa Endang Djuana
Keyword(s):  
Early Detection ◽  
Water Level ◽  
Community Service ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Ultrasonic Sensor ◽  
Detection Tool ◽  
Flood Detection

Cisadane River is the largest river whose overflow often causes flooding in several locations in South Tangerang City. One of them is located in Pesona Serpong Housing, Setu District, South Tangerang City. The Cisadane Environmental Echo Community (GEMALA) is a community that cares about the sustainability of the Cisadane River. This community service aims to improve understanding of river maintenance and socialize the IoT-based Early Warning System (EWS) tool to the GEMALA community as an early flood detection tool. The method used is to use an ultrasonic sensor HC-SR04 which will measure the water level of the river and will send a signal via the Telegram messaging application. At the end of this activity, an IoT-based Early Warning System (EWS) tool was produced that could be utilized by the GEMALA community as an early flood detection tool.

E-Ways (Early Warning System): A Literature Study of Smartphone Application-Based Stroke Early Detection

2020 ◽  
Vol 11 (2) ◽  
pp. 1395
Author(s):  
Muhamad Jauhar ◽  
Lita Heni Kusumawardani ◽  
Anon Rasdiyanah ◽  
I. Gusti Ayu Putu Desy Rohana ◽  
Utami Rachmawati
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Smartphone Application ◽  
Literature Study ◽  
System A

An Early Detection-Warning System to Identify Speed Breakers and Bumpy Roads using Sensors In Smartphones

2017 ◽  
Vol 7 (3) ◽  
pp. 1377
Author(s):  
Vamsee Krishna Kiran M ◽  
Vimalkumar K ◽  
Vinodhini R E ◽  
Archanaa R
Keyword(s):  
Early Detection ◽  
Real Time ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Cost Effective ◽  
Google Maps ◽  
System Cost ◽  
Ground Clearance ◽  
Major Threat

Speed breakers and bumpy roads are a major threat to drivers that questions their safety. The mishap happens because of no sign boards indicating the speed breaker, poor visibility at night and road works that are often carried out with no proper signs of road deviations and also the negligence of the driver. All these factors put the life of the persons in vain causing damage to the vehicle as well as life. Also, bumpy roads have become a problem for cars with less ground clearance. The focus of the paper is on designing an early warning system detecting both speed breaker humps and bad road conditions. The approach used in this paper is a real-time solution and is developed as an android service that runs in the background and relies on Google Maps application in the smartphone. This service will throw an alert giving early warning if the user is approaching the speed breaker or a bumpy road. Apart from just giving an early alert to the user, it also provides the user with an alternative and a better route. The solution proposed in this work is a form of crowdsourcing where users share and get data, therefore making the system cost effective.

scholarly journals Differences of The Number of Maternal References In Semarang Public Health Center Based on MEOWS Scoring System

2021 ◽  
Vol 2 (2) ◽  
pp. 54-62
Author(s):  
Aji Patriajati
Keyword(s):  
Public Health ◽  
Health Center ◽  
Early Warning ◽  
Early Warning System ◽  
Absolute Risk ◽  
Intervention Group ◽  
Warning System ◽  
Early Warning Score ◽  
Control Group ◽  
Public Health Center

Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion:The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari Kulon, Bandarharjo, and Bangetayu public health center in Semarang and were willing to participate in the study and were referred to government hospitals using national health assurance BPJS. Sampling was done by cluster random sampling by dividing the intervention and control groups. The study used a pretest-posttest control group design method by comparing the use of the MEOWS and the Poedji Rochjati Scorecard (KSPR) to the number of public health center referrals in Semarang. The data obtained will be analyzed statistically with the bivariate test, Mann-Whitney difference test, relative risk reduction, and absolute risk reduction.Results: The results showed that 21 of 43 (48.8%) patients were referred to the control group and 26 of 36 (72.2%) patients were referred to the intervention group. Mann-Whitney test of the number of referrals after the intervention within 3 months showed significant results (p = 0.033; p <0.05). There was an increase in the number of maternal referrals at the public health center in Semarang after the implementation of the MEOWS score by 1.48 times compared to using the KSPR (RR : 1.48 ; 95% CI : 1.02 – 2.13).Conclusion: The use of the MEOWS score can increase awareness of potential referrals and is associated with complications in patients.

scholarly journals SISTEM PERINGATAN DINI UNTUK KONFLIK SOSIAL DI PERKOTAAN

Sosio Informa ◽  
2006 ◽  
Vol 11 (1) ◽  
Author(s):  
Fathoni Moehtadi
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Early Warning System ◽  
Social Conflict ◽  
Warning System ◽  
Digital Map ◽  
Stress Signals ◽  
Forewarning System

Kajian Pendahuluan Pembuatan Peta Digital Kota Tangerang ( Early Warning System for Social Conflict in Cities) Studi to make Digital Map in tangerang City - Social conflict not merely happened at areas which initially are true identified as gristle area. Conflicts with different intensity also exist in the areas where there never happened over hundred years. To lessen possibility the happening of various broader social conflict and stress,early detection of social symptoms in society showing stress signals and conflict require to be gone through. This effort will be easier to conduct if there is a societal early warning system. With the existence of forewarning system, hence areas which tend to have crisis symptom and similar stress can be anticipated with certain actions to avoid. This method will be able to prevent broader conflict and stress acending.

PO2 and PCO2 Measurements for the Prevention and Early Detection of Anastomotic Leakage

2008 ◽  
Author(s):  
D. Tanase ◽  
K. Tang ◽  
P. J. French ◽  
N. Komen ◽  
G. Kleinrensink ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Colorectal Surgery ◽  
Early Detection ◽  
Abdominal Surgery ◽  
Anastomotic Leakage ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Leakage Detection ◽  
Prevention And Early Detection

Anastomotic leakage is the main, yet unsolved reason for mortality in abdominal surgery. Every year patients die because of anastomotic leakage after surgery. In the case of colorectal surgery, statistics show an incidence rate of 10–13% and a mortality rate of 32%. The aim of this work is to reduce the complications by improving the feedback to the surgeon during the operation and to minimise the fatalities by developing an early warning system. Currently, there are no peroperative methods to avoid anastomotic leakage or any validated early postoperative parameters for leakage detection. Therefore, an objective aid to detect leakage during surgery and recovery is of utmost importance.

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