Early Warning Systems

Currently, medical general wards tend to have a higher number of severely sick patients with a long period of critical illness. In addition, there is a growing recognition that several indicators of acute deterioration are being missed by both nurses and doctors. The consequences of these are an increase in the number of adverse events, such as cardiac arrest and in the number of patients admitted or readmitted in critical care units, contributing undoubtedly to higher mortality rates. As a result, many initiatives have been designed trying to reduce such problems, including the development of early warning scoring systems with the perspective of timely medical response. The aim of this project is to elucidate the dimensions of early warning systems (EWS), to raise discussion on their validity and to stimulate health leadership in introducing early warning systems into health care mechanisms. After having collected and presented data from several recent articles on the topic, this project intends to discuss about the introduction and function of EWS... (excerpt)

[1]  Stevie Smith.  Not Waving but Drowning , 1957 .

[2]  J. Naughtie.  Not waving, but drowning. , 1987, Nursing times.

[3]  Kenneth S. Rogoff,et al.  Exchange Rate Dynamics Redux , 1994, Journal of Political Economy.

[4]  Kenneth S. Rogoff,et al.  Foundations of International Macroeconomics , 1997 .

[5]  R. Morgan,et al.  An early warning scoring system for detecting developing critical illness , 1997 .

[6]  Giles Morgan,et al.  Confidential inquiry into quality of care before admission to intensive care , 1998, BMJ.

[7]  J. Bache.  European Resuscitation Council Guidelines for Resuscitation , 1998 .

[8]  Se-Jik Kim.  Corporate Leverage, Bankruptcy, and Output Adjustment in Post-Crisis East Asia , 1999, SSRN Electronic Journal.

[9]  M. Singer,et al.  Unexpected Deaths and Referrals to Intensive Care of Patients on General Wards – Are Some Cases Potentially Avoidable? , 1999, Journal of the Royal College of Physicians of London.

[10]  Andrew Berg,et al.  Predicting currency crises:: The indicators approach and an alternative , 1999 .

[11]  M. Bussière,et al.  External Vulnerability in Emerging Market Economies: How High Liquidity Can Offset Weak Fundamentals and the Effects of Contagion , 1999, SSRN Electronic Journal.

[12]  F. Caramazza,et al.  Currency Crises: In Search of Common Elements , 2000, SSRN Electronic Journal.

[13]  P. Montiel,et al.  Post-Crisis Exchange Rate Policy in Five Asian Countries Filling in the 'Hollow Middle'? , 2001, SSRN Electronic Journal.

[14]  Antonio Spilimbergo,et al.  Crises and Liquidity: Evidence and Interpretation , 2001, SSRN Electronic Journal.

[15]  C. Subbe,et al.  Validation of a modified Early Warning Score in medical admissions. , 2001, QJM : monthly journal of the Association of Physicians.

[16]  Taimur Baig.  Characterizing Exchange Rate Regimes in Post-Crisis East Asia , 2001, SSRN Electronic Journal.

[17]  Joshua E. Greene.  The Output Decline in Asian Crisis Countries: Investment Aspects , 2002, SSRN Electronic Journal.

[18]  Mark P. Taylor,et al.  International capital crunches: the time-varying role of informational asymmetries , 2002, SSRN Electronic Journal.

[19]  Tamim A. Bayoumi,et al.  When leaner isn't meaner: measuring the benefits and spillovers of greater competition in Europe , 2003 .

[20]  Rinaldo Bellomo,et al.  Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates* , 2004, Critical care medicine.

[21]  Debbie Knight,et al.  Long-term effect of introducing an early warning score on respiratory rate charting on general wards. , 2005, Resuscitation.

[22]  J. Hogan.  Why don't nurses monitor the respiratory rates of patients? , 2006, British journal of nursing.

[23]  J. McGaughey,et al.  Outreach and Early Warning Systems (EWS) for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards. , 2007, The Cochrane database of systematic reviews.

[24]  J. Rattray,et al.  Physiological risk factors, early warning scoring systems and organizational changes. , 2007, Nursing in critical care.

[25]  M. Odell,et al.  Nurses' role in detecting deterioration in ward patients: systematic literature review. , 2009, Journal of advanced nursing.

[26]  Zhuang Liu,et al.  Outline for establishment of the Taihu-Lake Basin early warning system , 2009, Ecotoxicology.

[27]  Benjamin W Berg,et al.  Alarm limit settings for early warning systems to identify at-risk patients. , 2009, Journal of advanced nursing.

[28]  Performance of the maximum modified early warning score to predict the need for higher care utilization among admitted emergency department patients. , 2010, Journal of hospital medicine.

[29]  Deborah Flynn,et al.  Observations in acute care: evidence-based approach to patient safety. , 2010, British journal of nursing.

[30]  Gavin D Perkins,et al.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. , 2010, Resuscitation.

[31]  Yixin Chen,et al.  Toward a two-tier clinical warning system for hospitalized patients. , 2011, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[32]  U. Kyriacos,et al.  Monitoring vital signs using early warning scoring systems: a review of the literature. , 2011, Journal of nursing management.

[33]  Bo Belhage,et al.  Nurse-administered early warning score system can be used for emergency department triage , 2011 .

[34]  The value of the Modified Early Warning Score and biochemical parameters as predictors of patient outcome in acute medical admissions a prospective study. , 2011, Acute medicine.

[35]  John O'Donoghue,et al.  Modified Early Warning Scorecard: The Role of Data/Information Quality within the Decision Making Process , 2011 .

[36]  Michael Bailey,et al.  Bedside electronic capture of clinical observations and automated clinical alerts to improve compliance with an Early Warning Score protocol. , 2011, Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.