Imperfect Implementation of an Early Warning Scoring System in a Danish Teaching Hospital: A Cross-Sectional Study

نویسندگان

  • Mark Niegsch
  • Maria Louise Fabritius
  • Jacob Anhøj
چکیده

BACKGROUND In 2007, the initiation of a patient safety campaign led to the introduction of Ward Observational Charts (WOC) and Medical Early Warning Score (MEWS) at Naestved Regional Hospital. This included systematic measuring of vital signs of all patients in order to prevent patient deterioration and assure timely and correct initiation of treatment. The aim of this study was to assess to what degree WOC guidelines being followed by ward staff. DESIGN AND SETTING A 7-day prospective, observational, randomised, cross-sectional, point prevalence study of WOC guideline compliance in hospitalised patients on twelve wards at Naestved Hospital. RESULTS The study included 132 patients. Of these, 58% had been observed and managed correctly according to WOC guidelines. 77% had all MEWS elements recorded by staff. One patient had no MEWS elements recorded. Only 38% of patients with abnormal MEWS were correctly escalated by nursing staff. Staff was aware of the abnormal MEWS observed by investigator in 60% of the patients. Each element of WOC was on average recorded by staff in 90% of the patients. CONCLUSION At the time of our study, the long-term implementation of WOC guidelines has not been completed satisfactorily. The lacking component in the implementation of MEWS and WOC is the documentation of action taken upon finding an abnormal value. Unsuccessful implementation could result in incorrect results from evaluation of an early warning system. We suggest a redesign of the training programme to educate staff in recognising and caring for critically ill patients at Naestved Hospital.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

مدیریت اعزام اورژانس پیش بیمارستانی با استفاده از امتیازدهی فیزیولوژیک

Introduction: Pre-hospital emergency services in Iran need to move towards evidence-based services. The aim of this study was to evaluation the physiological early warning scoring system (PEWS) for transport management of internal patients. Methods: This is a cross sectional study. The study populations are internal patients that transport by pre-hospital emergency of Semnan province. Physiol...

متن کامل

Does the number of doctors on call correlate with patient admission rates and patient morbidity at Danish Medical Admissions Units?

Methods This descriptive study use a mixture of methods. Data on staffing were retrieved from a cross-sectional study amongst all Danish MAUs. Data regarding admissions rates were retrieved from Sydvestjysk Sygehus (SVS) in Esbjerg registry. Modified Early Warning Score (MEWS) was calculated on all patients admitted to the MAU at SVS over three months. Data regarding admissions rats to intensiv...

متن کامل

Drug Supply Chain Management and Implementation of Health Reform Plan in Teaching Hospital Pharmacies of Ahvaz, Iran

Background: Drugs play a strategic role as a health commodity. Thus, the supply chain management of drugs is an important issue to reducing costs and thereby improving patient health. Objective: This study evaluated the status of drug supply chain management and health reform in the pharmaceutical sector of teaching hospitals in Ahvaz, Iran. <strong...

متن کامل

Prediction of in-hospital mortality and admission to ICU using vital signs - a study of Early Warning Score as an alternative to traditional triage

Background Triage of patients in the Emergency Department includes scoring of vital parameters. The objective of this study was to compare two such triage systems for assessing vital parameters a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple-parameter system, T-EWS, which we based on Early Warning Score (EWS) and correlate the triage scores to in-h...

متن کامل

Comparison of Hospital Efficiency and Performance Indices before and after the Implementation of Public-Private Partnership Model: A Case Study

Background and Objectives: Public– Private Partnership can increase the hospital efficiency as the main goal of a good management in healthcare. Hospital efficiency in utilizing resources can be measured through specific indices and analysis of data, after which we can expect to improve productivity in the system. Analysis of performance indices can be useful to achieve to the ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2013