喵喵
预警得分
医学
败血症
心理干预
医疗保健
急症护理
重症监护医学
急诊医学
医疗急救
护理部
内科学
经济增长
经济
作者
Jamie K. Roney,Barbara Erin Whitley,JoAnn D. Long
出处
期刊:Nursing Forum
[Wiley]
日期:2019-11-08
卷期号:55 (2): 144-148
被引量:6
摘要
One in three patients who die in the hospital has sepsis. Alerting clinicians to early detection of high-risk patients before deterioration is a top health care priority. Modified Early Warning Scoring (MEWS) tools have assisted organizations in identifying at-risk patients at the first sign of subtle deterioration.In conjunction with an academic-clinical partner, we evaluated, revised and implemented a modified MEWS-Sepsis screening tool in an acute care facility.One hundred and thirty-nine direct-care nurses participated in tool evaluation.Using a plan-do-study-act cycle of quality improvement, critical care scenarios from septic patient data were created and tested in a simulated setting.Upon implementation of the MEWS-Sepsis tool, the monthly risk-adjusted sepsis mortality rate immediately declined by 24%. The decline in mortality has been sustained from implementation to the present, spanning a 5-year period.The implementation of a MEWS-Sepsis screening tool contributed to early identification and implementation of time-sensitive interventions aimed at preventing sepsis-associated deaths. MEWS-Sepsis tools hold potential for scale-up and spreading out of evidence-based practice nursing innovations to transform care, improve patient outcomes, and save lives.
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