Effectiveness of Implementing Modified Early Warning System and Rapid Response Team for General Ward Inpatients

Wen‐Jinn Liaw1, Tzu-Jung Wu2, Lihua Hu2, Chiao-Shan Chen1, Mi Ching Tsai3, I-Chen Lin4, Yi-Han Liao4, Wu‐Chung Shen4
1Medical Quality Center, Chung Shan Medical University Hospital, Taichung, Taiwan
2Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
3College of Medicine, Chung Shan Medical University, Taichung, Taiwan
4Artificial Intelligence Center, Chung Shan Medical University Hospital, Taichung, Taiwan

Tóm tắt

Từ khóa


Tài liệu tham khảo

Franklin C, Mathew J (1994) Developing strategies to prevent inhospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med 22:244-247.

Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL (1990) Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 98:1388-1392.

Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ 324:387-390. https://doi.org/10.1136/bmj.324.7334.387

Kenward G, Castle N, Hodgetts T, Shaikh L (2004) Evaluation of a medical emergency team one year after implementation. Resuscitation 61:257-263.

Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart GK, Opdam H, Silvester W, Doolan L, Gutteridge G (2003) A prospective before-and-after trial of a medical emergency team. Med J Aust 179:283-287. https://doi.org/10.5694/j.1326-5377.2003.tb05548.x

Maharaj R, Raffaele I, Wendon J (2015) Rapid response systems: a systematic review and meta-analysis. Crit Care 19:254. https://doi.org/10.1186/s13054-015-0973-y

Jung B, Daurat A, De Jong A, Chanques G, Mahul M, Monnin M, Molinari N, Jaber S (2016) Rapid response team and hospital mortality in hospitalized patients. Intensive Care Med 42:494-504. https://doi.org/10.1007/s00134-016-4254-2

Jones D, Moran J, Winters B, Welch J (2013) The rapid response system and end-of-life care. Curr Opin Crit Care 19:616-623. https://doi.org/10.1097/MCC.0b013e3283636be2

Stenhouse C, Coates S, Tivey M, Allsop P, Parker T (2000) Prospective evaluation of a modified Early Warning Score to aid earlier detection of patients developing critical illness on a general surgical ward. British Journal of Anaesthesia 84:663P. https://doi.org/10.1093/bja/84.5.663

Subbe CP, Kruger M, Rutherford P, Gemmel L (2001) Validation of a modified Early Warning Score in medical admissions. QJM 94:521-526. https://doi.org/10.1093/qjmed/94.10.521

Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI (2013) The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation 84:465-470. https://doi.org/10.1016/j.resuscitation.2012.12.016

Alves Silva LM, Moroço DM, Pintya JP, Miranda CH (2021) Clinical impact of implementing a rapid-response team based on the Modified Early Warning Score in wards that offer emergency department support. PLoS One 16:e0259577. https://doi.org/10.1371/journal.pone.0259577

Mahmoodpoor A, Sanaie S, Saghaleini SH, Ostadi Z, Hosseini MS, Sheshgelani N, Vahedian-Azimi A, Samim A, Rahimi-Bashar F (2022) Prognostic value of National Early Warning Score and Modified Early Warning Score on intensive care unit readmission and mortality: A prospective observational study. Front Med (Lausanne) 9:938005. https://doi.org/10.3389/fmed.2022.938005

Ko RE, Kwon O, Cho KJ, Lee YJ, Kwon JM, Park J, Kim JS, Kim AJ, Jo YH, Lee Y et al (2022) Quick Sequential Organ Failure Assessment Score and the Modified Early Warning Score for Predicting Clinical Deterioration in General Ward Patients Regardless of Suspected Infection. J Korean Med Sci 37:e122. https://doi.org/10.3346/jkms.2022.37.e122

van Mourik N, Oomen JJ, van Vught LA, Biemond BJ, van den Bergh WM, Blijlevens NMA, Vlaar APJ, Müller MCA (2023) The predictive value of the modified early warning score for admission to the intensive care unit in patients with a hematologic malignancy - A multicenter observational study. Intensive Crit Care Nurs 79:103486. https://doi.org/10.1016/j.iccn.2023.103486

Allarakia J, Felemban T, Alghamdi A, Ashi A, Al Talhi YM, Alsahafi A, Alamri A, Aldabbagh M (2023) Modified Early Warning Score (MEWS) as a predictor of intensive care unit admission in cancer patient on chemotherapy with positive blood culture: A retrospective cohort study. J Infect Public Health 16:865-869. https://doi.org/10.1016/j.jiph.2023.03.012

Wang L, Lv Q, Zhang X, Jiang B, Liu E, Xiao C, Yu X, Yang C, Chen L (2020) The utility of MEWS for predicting the mortality in the elderly adults with COVID-19: a retrospective cohort study with comparison to other predictive clinical scores. PeerJ 8:e10018. https://doi.org/10.7717/peerj.10018

Al-Salman J, Sanad Salem Alsabea A, Alkhawaja S, Al Balooshi AM, Alalawi M, Abdulkarim Ebrahim B, Hasan Zainaldeen J, Al Sayyad AS (2023) Evaluation of an adjusted MEWS (Modified Early Warning Score) for COVID-19 patients to identify risk of ICU admission or death in the Kingdom of Bahrain. J Infect Public Health 16:1773-1777. https://doi.org/10.1016/j.jiph.2023.09.002

Barnett WR, Radhakrishnan M, Macko J, Hinch BT, Altorok N, Assaly R (2021) Initial MEWS score to predict ICU admission or transfer of hospitalized patients with COVID-19: A retrospective study. J Infect 82:282-327. https://doi.org/10.1016/j.jinf.2020.08.047

Na SJ, Ko RE, Ko MG, Jeon K (2021) Automated alert and activation of medical emergency team using early warning score. J Intensive Care 9:73. https://doi.org/10.1186/s40560-021-00588-y

Heller AR, Mees ST, Lauterwald B, Reeps C, Koch T, Weitz J (2020) Detection of Deteriorating Patients on Surgical Wards Outside the ICU by an Automated MEWS-Based Early Warning System With Paging Functionality. Ann Surg 271:100-105. https://doi.org/10.1097/SLA.0000000000002830

Haegdorens F, Monsieurs KG, De Meester K, Van Bogaert P (2020) The optimal threshold for prompt clinical review: An external validation study of the national early warning score. J Clin Nurs 29:4594-4603. https://doi.org/10.1111/jocn.15493

Romero-Brufau S, Huddleston JM, Naessens JM, Johnson MG, Hickman J, Morlan BW, Jensen JB, Caples SM, Elmer JL, Schmidt JA et al (2014) Widely used track and trigger scores: are they ready for automation in practice? Resuscitation 85:549-552. https://doi.org/10.1016/j.resuscitation.2013.12.017

Braun EJ, Singh S, Penlesky AC, Strong EA, Holt JM, Fletcher KE, Stadler ME, Nattinger AB, Crotty BH (2022) Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf 31:716-724. https://doi.org/10.1136/bmjqs-2021-014498

Nishijima I, Oyadomari S, Maedomari S, Toma R, Igei C, Kobata S, Koyama J, Tomori R, Kawamitsu N, Yamamoto Y et al (2016) Use of a modified early warning score system to reduce the rate of in-hospital cardiac arrest. J Intensive Care 4:12. https://doi.org/10.1186/s13054-016-1208-6

Hatlem T, Jones C, Woodard EK (2011) Reducing mortality and avoiding preventable ICU utilization: analysis of a successful rapid response program using APR DRGs. J Healthc Qual 33:7-16. https://doi.org/10.1111/j.1945-1474.2011.00084.x

Dewar ZE, Kirchner HL, Rittenberger JC (2020) Risk factors for unplanned ICU admission after emergency department holding orders. J Am Coll Emerg Physicians Open 1:1623-1629. https://doi.org/10.1002/emp2.12203

Shiloh AL, Ari Eisen L, Savel RH (2015) The unplanned intensive care unit admission. J Crit Care 30:419-420. https://doi.org/10.1016/j.jcrc.2014.12.010

Glass G, Hartka TR, Keim-Malpass J, Enfield KB, Clark MT (2021) Dynamic data in the ED predict requirement for ICU transfer following acute care admission. J Clin Monit Comput 35:515-523. https://doi.org/10.1007/s10877-020-00500-3

Delgado MK, Liu V, Pines JM, Kipnis P, Gardner MN, Escobar GJ (2013) Risk factors for unplanned transfer to intensive care within 24 hours of admission from the emergency department in an integrated healthcare system. J Hosp Med 8:13-19. https://doi.org/10.1002/jhm.1979