17.00
Hdl Handle:
http://hdl.handle.net/10755/602061
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Recognizing Sepsis Using a Modified Early Warning Scoring (MEWS) Tool
Author(s):
Whitley, Erin; Roney, Jamie K.; Long, JoAnn D.; Dunkle, Stephanie R.; Maples, Jessica
Lead Author STTI Affiliation:
Iota Mu
Author Details:
Erin Whitley, RN, ewhitley@covhs.org; Jamie K. Roney, RN-BC, CCRN-K; JoAnn D. Long, RN, NEA-BC; Stephanie R. Dunkle, RN; Jessica Maples, RN-BC
Abstract:
Session presented on Friday, July 24, 2015: Purpose:' The incidence of sepsis is increasing worldwide.' Early identification of sepsis is critical to patient survival. Despite advances in the identification and treatment of sepsis 35-50% of patients still die (Cildir et al., 2012). Few tools developed from sound research have been introduced to address acute declines in patient condition outside of the intensive care unit (ICU). Testing of MEWS tools has been mostly retrospective and gaps exist in data related to reliability and validity testing and outcome measurement.' Septic patients may experience sudden changes in status and quickly deteriorate requiring emergent medical management or cardiopulmonary resuscitative efforts.' A modified early warning scoring (MEWS) tool incorporating crucial sepsis indicators could save lives. The purpose of this project is to determine if a modified early warning scoring (MEWS) tool, adapted to include systemic inflammatory response syndrome (SIRS) criteria, can decrease mortality, length of stay, and cost to treat septic patients. Methods:' This study will use a comparative descriptive design.' The charts of all patients diagnosed with sepsis will be evaluated during the six-month period from January 2014 to July 2014 prior to implementation of a MEWS tool with SIRS criteria and the charts of all patients diagnosed with sepsis from August 2014 to January 2015 after implementation of a MEWS tool with SIRS criteria will be evaluated.' 'The research questions for this study are:' 1) Is there a difference in mortality in sepsis patients scored using a MEWS tool as compared to sepsis patients who did not use the MEWS assessment tool? 2)' Is there a difference in length of stay for septic patients post MEWS implementation? 3) Does use of MEWS tool decrease cost to treat septic patients? Descriptive statistics will be collected and reported on the mortality rates, length of stay, and cost to treat in both groups.' A Chi-square test, alpha 0.05, will be used to determine if a proportional difference exists between the groups for each of the study variables.'' Results:'Data collection for this project is in progress.' Conclusion: Early warning systems facilitate identification of all at-risk patients.' Nurses accurately identifying and regularly assessing patient vital signs, laboratory data, and other physiological findings are essential to a successful sepsis recognition tool.' The researcher expects to find a MEWS tool which incorporates SIRS criteria will be effective in identifying adult hospitalized patients at-risk for clinical decline from sepsis and will decrease mortality, length of stay, and cost to treat.
Keywords:
Sepsis; Systemic Inflammatory Response Syndrome; Modified Early Warning Score
CINAHL Headings:
Systemic�Inflammatory�Response�Syndrome--Diagnosis; Sepsis--Diagnosis; Sepsis; Severity of Illness Indices
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRS15PST126
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleRecognizing Sepsis Using a Modified Early Warning Scoring (MEWS) Toolen
dc.contributor.authorWhitley, Erinen
dc.contributor.authorRoney, Jamie K.en
dc.contributor.authorLong, JoAnn D.en
dc.contributor.authorDunkle, Stephanie R.en
dc.contributor.authorMaples, Jessicaen
dc.contributor.departmentIota Muen
dc.author.detailsErin Whitley, RN, ewhitley@covhs.org; Jamie K. Roney, RN-BC, CCRN-K; JoAnn D. Long, RN, NEA-BC; Stephanie R. Dunkle, RN; Jessica Maples, RN-BCen
dc.identifier.urihttp://hdl.handle.net/10755/602061-
dc.description.abstractSession presented on Friday, July 24, 2015: Purpose:' The incidence of sepsis is increasing worldwide.' Early identification of sepsis is critical to patient survival. Despite advances in the identification and treatment of sepsis 35-50% of patients still die (Cildir et al., 2012). Few tools developed from sound research have been introduced to address acute declines in patient condition outside of the intensive care unit (ICU). Testing of MEWS tools has been mostly retrospective and gaps exist in data related to reliability and validity testing and outcome measurement.' Septic patients may experience sudden changes in status and quickly deteriorate requiring emergent medical management or cardiopulmonary resuscitative efforts.' A modified early warning scoring (MEWS) tool incorporating crucial sepsis indicators could save lives. The purpose of this project is to determine if a modified early warning scoring (MEWS) tool, adapted to include systemic inflammatory response syndrome (SIRS) criteria, can decrease mortality, length of stay, and cost to treat septic patients. Methods:' This study will use a comparative descriptive design.' The charts of all patients diagnosed with sepsis will be evaluated during the six-month period from January 2014 to July 2014 prior to implementation of a MEWS tool with SIRS criteria and the charts of all patients diagnosed with sepsis from August 2014 to January 2015 after implementation of a MEWS tool with SIRS criteria will be evaluated.' 'The research questions for this study are:' 1) Is there a difference in mortality in sepsis patients scored using a MEWS tool as compared to sepsis patients who did not use the MEWS assessment tool? 2)' Is there a difference in length of stay for septic patients post MEWS implementation? 3) Does use of MEWS tool decrease cost to treat septic patients? Descriptive statistics will be collected and reported on the mortality rates, length of stay, and cost to treat in both groups.' A Chi-square test, alpha 0.05, will be used to determine if a proportional difference exists between the groups for each of the study variables.'' Results:'Data collection for this project is in progress.' Conclusion: Early warning systems facilitate identification of all at-risk patients.' Nurses accurately identifying and regularly assessing patient vital signs, laboratory data, and other physiological findings are essential to a successful sepsis recognition tool.' The researcher expects to find a MEWS tool which incorporates SIRS criteria will be effective in identifying adult hospitalized patients at-risk for clinical decline from sepsis and will decrease mortality, length of stay, and cost to treat.en
dc.subjectSepsisen
dc.subjectSystemic Inflammatory Response Syndromeen
dc.subjectModified Early Warning Scoreen
dc.subject.cinahlSystemic�Inflammatory�Response�Syndrome--Diagnosisen
dc.subject.cinahlSepsis--Diagnosisen
dc.subject.cinahlSepsisen
dc.subject.cinahlSeverity of Illness Indicesen
dc.date.available2016-03-17T13:02:59Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:02:59Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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