2.50
Hdl Handle:
http://hdl.handle.net/10755/182548
Category:
Abstract
Type:
Presentation
Title:
The Use of Modified Early Warning Scores by a Rapid Response Team
Author(s):
Miller, Semico; Michna, Linda; Gaffney, Mary
Author Details:
Semico Miller, R.N. BHA CCRN CNRN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: szmiller@nmh.org; Linda Michna, RN; Mary Gaffney, RN, CCRN
Abstract:
Poster Presentation: Current research supports the fact that early recognition of vital sign deterioration provides the opportunity for early intervention and subsequent reduction of cardiac and respiratory arrest risk for non-ICU patients . MEWS, or modified Early Warning Score, is a physiological scoring system that assigns risk for clinical deterioration based on vital signs and clinical observation. The use of MEWS as a predictive tool by a hospital-based Rapid Response Team can facilitate a decline in risk of cardiac and respiratory arrest through early critical care nurse assessment and intervention of patients outside of intensive care units. As part of this quality improvement project, critical care nurses on an academic medical center's Rapid Response Team (RRT) used MEWS and vital sign surveillance to assess non-ICU patients and to provide early intervention in the presence of deteriorating patient clinical assessment. A MEWS of 5 or more identified "at risk" patients. The RRT nurse evaluated each "at risk" patient for preventative intervention by initiating a brief RRT plan review and assessment. More extensive interventions were performed based on patient status at the time of RRT assessment. Quality improvement project analyses showed higher MEWS associated with (a) patients who later transferred to higher levels of care and (b) patients who experienced cardiac and respiratory emergency situations. Additionally, retrospective arrest audits were conducted by the RRT nurses to identify information for process analysis and to guide future patient care. Results from a sample of 368 patients revealed that the RRT nurses intervened with the plan of care for 60% of non-ICU patients, facilitated early proactive transfer to higher level of care for 4% of patients, and provided other interventions for 15% of patients. The modified...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: C.P. Subbe, M. Kruger, P. Rutherford and L. Gemmel. Validation of a modified Early Warning Score in Medical admissions. Q. J. Med. 2001; 94: 521-526.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Use of Modified Early Warning Scores by a Rapid Response Teamen_GB
dc.contributor.authorMiller, Semicoen_US
dc.contributor.authorMichna, Lindaen_US
dc.contributor.authorGaffney, Maryen_US
dc.author.detailsSemico Miller, R.N. BHA CCRN CNRN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: szmiller@nmh.org; Linda Michna, RN; Mary Gaffney, RN, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182548-
dc.description.abstractPoster Presentation: Current research supports the fact that early recognition of vital sign deterioration provides the opportunity for early intervention and subsequent reduction of cardiac and respiratory arrest risk for non-ICU patients . MEWS, or modified Early Warning Score, is a physiological scoring system that assigns risk for clinical deterioration based on vital signs and clinical observation. The use of MEWS as a predictive tool by a hospital-based Rapid Response Team can facilitate a decline in risk of cardiac and respiratory arrest through early critical care nurse assessment and intervention of patients outside of intensive care units. As part of this quality improvement project, critical care nurses on an academic medical center's Rapid Response Team (RRT) used MEWS and vital sign surveillance to assess non-ICU patients and to provide early intervention in the presence of deteriorating patient clinical assessment. A MEWS of 5 or more identified "at risk" patients. The RRT nurse evaluated each "at risk" patient for preventative intervention by initiating a brief RRT plan review and assessment. More extensive interventions were performed based on patient status at the time of RRT assessment. Quality improvement project analyses showed higher MEWS associated with (a) patients who later transferred to higher levels of care and (b) patients who experienced cardiac and respiratory emergency situations. Additionally, retrospective arrest audits were conducted by the RRT nurses to identify information for process analysis and to guide future patient care. Results from a sample of 368 patients revealed that the RRT nurses intervened with the plan of care for 60% of non-ICU patients, facilitated early proactive transfer to higher level of care for 4% of patients, and provided other interventions for 15% of patients. The modified...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: C.P. Subbe, M. Kruger, P. Rutherford and L. Gemmel. Validation of a modified Early Warning Score in Medical admissions. Q. J. Med. 2001; 94: 521-526.en_GB
dc.date.available2011-10-28T15:29:09Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:29:09Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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