scholarly journals Nurses' Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration—A Focus Group Study

Nursing Open ◽  
2021 ◽  
Author(s):  
Caroline S. Langkjaer ◽  
Dorthe G. Bove ◽  
Pernille B. Nielsen ◽  
Kasper K. Iversen ◽  
Morten H. Bestle ◽  
...  
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Early Warning Score ◽  
Focus Group Study ◽  
Patient Deterioration ◽  
Score Systems

Pediatric Early Warning Score Systems, Nurses Perspective – A Focus Group Study

2018 ◽  
Vol 41 ◽  
pp. e16-e22 ◽  
Author(s):  
Claus Sixtus Jensen ◽  
Pia Bonde Nielsen ◽  
Hanne Vebert Olesen ◽  
Hans Kirkegaard ◽  
Hanne Aagaard
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Early Warning Score ◽  
Focus Group Study ◽  
Score Systems

scholarly journals Pediatric Early Warning Score Systems, nurse’s perspective – a focus group study

2019 ◽  
Vol 2 (3) ◽  
pp. 38
Author(s):  
Claus Sixtus Jensen
Keyword(s):  
Focus Group ◽  
Early Warning ◽  
Clinical Judgment ◽  
Vital Signs ◽  
Early Warning Score ◽  
Focus Group Discussions ◽  
Focus Group Study ◽  
Group Discussions ◽  
Patients At Risk ◽  
Nurses Perceptions

Background: Pediatric early warning score (PEWS) systems are used to monitor pediatric patients’ vital signs and facilitate the treatment of patients at risk of deteriorating. The aim of this study was to gain knowledge about nurses’ experiences with PEWS and to highlight factors facilitating and impeding the use of PEWS tools in clinical practice we aim to obtain knowledge about nurses’ experiences with PEWS. Methods: An exploratory qualitative design was chosen using focus group discussions to gain a deeper understanding of nurses’ experiences with PEWS. A total of five focus group discussions were conducted at three hospitals, and the analyses performed were inspired by Kvale and Brinckman. Results: Seven themes were identified, including i) lack of interdisciplinary awareness, ii) clinical judgment and PEWS—a multi-faceted approach, iii) PEWS supports a professional language, iv) monitoring equipment—a challenge, v) PEWS helps to visualize the need for escalating care, vi) an inflexible and challenging tool, and vii) supportive tools enhance the nurses’ experiences of PEWS positively. Conclusions: Our findings suggest that attention should be given to nurses’ perceptions of how both clinical judgment and PEWS should be seen as essential in providing nurses with information about the patients’ conditions. If not, the risk of failing to recognize patients’ deteriorating conditions will remain. From the nurses’ perspective, medical doctors seemed unaware of their role in using PEWS.

Sensitivity of the Pediatric Early Warning Score to Identify Patient Deterioration

PEDIATRICS ◽  
2010 ◽  
Vol 125 (4) ◽  
pp. e763-e769 ◽  
Author(s):  
M. Akre ◽  
M. Finkelstein ◽  
M. Erickson ◽  
M. Liu ◽  
L. Vanderbilt ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning Score ◽  
Patient Deterioration

Ward post-operative care

2016 ◽  
Author(s):  
Ross Palmer ◽  
Alison Smith
Keyword(s):  
Early Warning ◽  
Early Recognition ◽  
Health Care Team ◽  
Early Warning Score ◽  
Breaking Bad ◽  
Patient Deterioration ◽  
Operative Care ◽  
Policies And Procedures ◽  
Recognition And Response ◽  
Operative Monitoring

Standardized, evidence-based post-operative policies and procedures ensure that safe and effective person-centred care is provided, which is aimed at reducing the likelihood of post-operative complications. Close physiological monitoring is imperative and should incorporate the use of an early warning score such as the National Early Warning Score (NEWS). This ensures early recognition and response to patient deterioration, which is quickly escalated to an appropriate member of the health-care team. This chapter provides an overview of oxygen therapy, wound drains, the removal of sutures and staples, post-operative monitoring, early warning scores, escalation, documentation standards, and breaking bad news.

scholarly journals New Early Warning Score: off-label approach for Covid-19 outbreak patient deterioration in the community

Resuscitation ◽  
2020 ◽  
Vol 151 ◽  
pp. 24-25 ◽  
Author(s):  
Federico Semeraro ◽  
Tommaso Scquizzato ◽  
Andrea Scapigliati ◽  
Giuseppe Ristagno ◽  
Lorenzo Gamberini ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning Score ◽  
Off Label ◽  
Patient Deterioration

scholarly journals Minimal Impact of Implemented Early Warning Score and Best Practice Alert for Patient Deterioration*

2019 ◽  
Vol 47 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Armando D. Bedoya ◽  
Meredith E. Clement ◽  
Matthew Phelan ◽  
Rebecca C. Steorts ◽  
Cara O’Brien ◽  
...  
Keyword(s):  
Early Warning ◽  
Best Practice ◽  
Early Warning Score ◽  
Minimal Impact ◽  
Patient Deterioration ◽  
Best Practice Alert

Early warning scores: unravelling detection and escalation

2015 ◽  
Vol 28 (8) ◽  
pp. 872-875 ◽  
Author(s):  
Gary B Smith ◽  
David R Prytherch ◽  
Paul Meredith ◽  
Paul E Schmidt
Keyword(s):  
Early Warning ◽  
Personal Experience ◽  
Design Methodology ◽  
Nurse Educators ◽  
Clinical Care ◽  
Early Warning Score ◽  
Content Type ◽  
Patient Deterioration ◽  
The Difference ◽  
Practical Implications

Purpose – The purpose of this paper is to increase understanding of how patient deterioration is detected and how clinical care escalates when early warning score (EWS) systems are used. Design/methodology/approach – The authors critically review a recent National Early Warning Score paper published in IJHCQA using personal experience and EWS-related publications, and debate the difference between detection and escalation. Findings – Incorrect EWS choice or poorly understood EWS escalation may result in unnecessary workloads forward and responding staff. Practical implications – EWS system implementers may need to revisit their guidance materials; medical and nurse educators may need to expand the curriculum to improve EWS system understanding and use. Originality/value – The paper raises the EWS debate and alerts EWS users that scrutiny is required.

scholarly journals Development and validation of early warning score systems for COVID‐19 patients

2021 ◽  
Author(s):  
Alexey Youssef ◽  
Samaneh Kouchaki ◽  
Farah Shamout ◽  
Jacob Armstrong ◽  
Rasheed El‐Bouri ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning Score ◽  
Development And Validation ◽  
Score Systems

scholarly journals Validation of the Pediatric Early Warning Score to determine patient deterioration from illness

2016 ◽  
Vol 56 (4) ◽  
pp. 251 ◽  
Author(s):  
Lenny Elita ◽  
Silvia Triratna ◽  
Erial Bahar
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Illness ◽  
Early Warning ◽  
Roc Curve ◽  
Pediatric Patients ◽  
Pediatric Intensive Care ◽  
Early Warning Score ◽  
Intensive Care Unit Treatment ◽  
Patient Deterioration

Background Patients who enter the emergency room (ERER) present with a variety of conditions, ranging from mild to critical. As such, it may be hard to determine which patients are in need of intensive care unit treatment. The Pediatric Early Warning Score (PEWS) has been used to identify signs of critical illness in pediatric patients.Objective To validate the PEWS system for assessing signs of critical illness in pediatric patients at Dr. Mohammad Hoesin Hospital, Palembang.Methods Subjects were children aged 1 month to 18 years who received treatment in the ERER and Pediatrics Ward inDr. Mohammad Hoesin Hospital in March to April 2015. Assessment with PEWS was based on vital sign examinations. Scores ranged from 0 to 9. The PEWS was generally taken twice, first in the ER , then after 6 hours in the ward. We obtained the cut-off point, sensitivity, and specificity of PEWS, in terms of need for pediatric intensive care unit (PICU) treatment.Results One hundred fifty patients were included in this study. Patients with PEW score of 5 or greater in the ER were relatively more likely to be transferred to the PICU, with a sensitivity of 94.4% and a specificity of 82.5%. The cut-off point obtained from the ROC curve was score 4.5 with AUC 96.7% (95%CI 93.4 to 99.9%; P<0.001).Conclusion A PEWS score of cut-off ≥5 may be used to determine which patients are in critically ill condition requiring treatment in PICU.

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