National Early Warning Scores (NEWS): A Quality Improvement Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/620194
Category:
Full-text
Type:
Presentation
Title:
National Early Warning Scores (NEWS): A Quality Improvement Project
Other Titles:
Clinical Leadership: Quality Improvement in Critical Care
Author(s):
Warrier, Sreedevi Sunil
Lead Author STTI Affiliation:
Non-member
Author Details:
Sreedevi Sunil Warrier, RN, CNS, sreedeviwarrier@yahoo.com
Abstract:
Session presented on Monday, September 19, 2016: NATIONAL EARLY WARNING SCORES (NEWS): A QUALITY IMPROVEMENT PROJECT. ABSTRACT Research suggests that a patient suffering from a cardiac and/or respiratory arrest usually exhibits physiological deviations, such as changes in vital signs and/or mental status, at least eight hours prior to the need for more intensive care (Stenhouse et al., 2000).� Numerous early warning score (EWS) tools are available for use in acute care settings to alert nurses to the need for early intervention to prevent continuing decline and mortality.� The National Early Warning Scores (NEWS) is a tool used to predict clinical deterioration, based on physiologic measurements.� A specific score is given to each physiological measurement and aggregated scores from six parameters and the use of oxygen are used to create a composite score to predict the magnitude of decline.� A prospective quantitative study was conducted in six medical/surgical units in a level I trauma center, over a thirty-day period of time (November 10, 2015 ? December 9, 2015), in order to validate the effectiveness of NEWS in predicting clinical deterioration. �Three thousand one hundred and fifty four patient recordings with over 100,000 vital signs revealed that 91 patients scored NEWS ?5, or a score of 3 in a single parameter and received interventions to prevent further clinical deterioration.� Of the 91 NEWS positive patients, 22 were transferred to a higher level of care, whereas 63 patients stayed on the medical/surgical unit.� Their NEWS returned to acceptable levels after therapies.� Project findings indicate that NEWS supports clinical decision-making processes as it allows for a single measure of an extreme physiologic value or an aggregate score to activate interventions to prevent clinical deterioration. A pilot study conducted in 2014 in one unit and the results were compared with the current study.� The results showed that the number of rapid response and code blue activations decreased after implementing NEWS hospital wide.� The NEWS implementation demonstrated a positive outcome in the study hospital,� and that results encouraged The Department of Health Service to implement NEWS to all DHS acute care hospitals through Electronic Health Record.
Keywords:
Patients; Nurses; NEWS
Repository Posting Date:
16-Sep-2016
Date of Publication:
16-Sep-2016
Other Identifiers:
LEAD16I01
Conference Date:
2016
Conference Name:
Leadership Connection 2016
Conference Host:
Sigma Theta Tau International
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNational Early Warning Scores (NEWS): A Quality Improvement Projecten
dc.title.alternativeClinical Leadership: Quality Improvement in Critical Careen
dc.contributor.authorWarrier, Sreedevi Sunilen
dc.contributor.departmentNon-memberen
dc.author.detailsSreedevi Sunil Warrier, RN, CNS, sreedeviwarrier@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/620194-
dc.description.abstractSession presented on Monday, September 19, 2016: NATIONAL EARLY WARNING SCORES (NEWS): A QUALITY IMPROVEMENT PROJECT. ABSTRACT Research suggests that a patient suffering from a cardiac and/or respiratory arrest usually exhibits physiological deviations, such as changes in vital signs and/or mental status, at least eight hours prior to the need for more intensive care (Stenhouse et al., 2000).� Numerous early warning score (EWS) tools are available for use in acute care settings to alert nurses to the need for early intervention to prevent continuing decline and mortality.� The National Early Warning Scores (NEWS) is a tool used to predict clinical deterioration, based on physiologic measurements.� A specific score is given to each physiological measurement and aggregated scores from six parameters and the use of oxygen are used to create a composite score to predict the magnitude of decline.� A prospective quantitative study was conducted in six medical/surgical units in a level I trauma center, over a thirty-day period of time (November 10, 2015 ? December 9, 2015), in order to validate the effectiveness of NEWS in predicting clinical deterioration. �Three thousand one hundred and fifty four patient recordings with over 100,000 vital signs revealed that 91 patients scored NEWS ?5, or a score of 3 in a single parameter and received interventions to prevent further clinical deterioration.� Of the 91 NEWS positive patients, 22 were transferred to a higher level of care, whereas 63 patients stayed on the medical/surgical unit.� Their NEWS returned to acceptable levels after therapies.� Project findings indicate that NEWS supports clinical decision-making processes as it allows for a single measure of an extreme physiologic value or an aggregate score to activate interventions to prevent clinical deterioration. A pilot study conducted in 2014 in one unit and the results were compared with the current study.� The results showed that the number of rapid response and code blue activations decreased after implementing NEWS hospital wide.� The NEWS implementation demonstrated a positive outcome in the study hospital,� and that results encouraged The Department of Health Service to implement NEWS to all DHS acute care hospitals through Electronic Health Record.en
dc.subjectPatientsen
dc.subjectNursesen
dc.subjectNEWSen
dc.date.available2016-09-16T14:22:07Z-
dc.date.issued2016-09-16-
dc.date.accessioned2016-09-16T14:22:07Z-
dc.conference.date2016en
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.en
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