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.
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.
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Keywords:
Adverse events; Cardiac arrest; Death; Early warning scores; Intensive care unit admission; National Early Warning Score; Rapid response teams
Authors: Oliver Redfern; Gary Smith; David Prytherch; Caroline Kovacs; Paul Meredith; Paul Schmidt; Jim Briggs Journal: J Intensive Care Soc Date: 2017-04-25
Authors: Shannon M Fernando; Alison E Fox-Robichaud; Bram Rochwerg; Pierre Cardinal; Andrew J E Seely; Jeffrey J Perry; Daniel I McIsaac; Alexandre Tran; Steven Skitch; Benjamin Tam; Michael Hickey; Peter M Reardon; Peter Tanuseputro; Kwadwo Kyeremanteng Journal: Crit Care Date: 2019-02-21 Impact factor: 9.097
Authors: Marco A F Pimentel; Oliver C Redfern; Stephen Gerry; Gary S Collins; James Malycha; David Prytherch; Paul E Schmidt; Gary B Smith; Peter J Watkinson Journal: Resuscitation Date: 2018-10-01 Impact factor: 5.262