Early warning scores: a sign of deterioration in patients and systems

Hdl Handle:
http://hdl.handle.net/10147/348551
Title:
Early warning scores: a sign of deterioration in patients and systems
Authors:
Fox, A; Elliott, Naomi
Affiliation:
Adrian FOX, Clinical Facilitator, St. James Hospital Dublin, ICU St. James street, Dublin 8, IRELAND adifox2010@hotmail.com Naomi ELLIOTT, Associate Professor, Trinity College Dublin, School of Nursing and Midwifery, 24 D’Olier Street, Dublin 2, IRELAND naomi.elliott@tcd.ie
Citation:
Fox, A., & Elliott, N. (2015). Early Warning Scores: a sign of deterioration in patients and systems. Nursing Management, 22(1), 26-31. doi: http://dx.doi.org/10.7748/nm.22.1.26.e1337
Journal:
Nursing Management
Issue Date:
Feb-2015
URI:
http://hdl.handle.net/10147/348551
Additional Links:
http://dx.doi.org/10.7748/nm.22.1.26.e1337
Abstract:
The early warning score is a decision-making tool that has a simple design, yet its implementation in healthcare organisations is proving complex. This article reports the results of a survey that evaluated the nurses’ experiences of using the NEWS (National Early Warning Score) in an acute hospital in Ireland. Staff reported that the NEWS was easy to use, did not increase workload and enhanced their ability to identify deteriorating patients. However, they also identified problems related to doctors’ delayed response times, doctors lack of training in the use of the tool, and a failure by doctors to modify parameters for patients with chronic conditions. NEWS enhances nurses’ role in early detection of patient deterioration but delays in response times by doctors, exposes systematic flaws in healthcare. This suggests that it is not only an indicator of patient deterioration but also of deteriorating healthcare systems.
Item Type:
Article
Language:
en
Keywords:
NURSE; ACUTE HOSPITALS
Local subject classification:
EARLY WARNING SCORE; NATIONAL EARLY WARNING SCORE (NEWS)

Full metadata record

DC FieldValue Language
dc.contributor.authorFox, Aen
dc.contributor.authorElliott, Naomien
dc.date.accessioned2015-04-07T11:02:59Zen
dc.date.available2015-04-07T11:02:59Zen
dc.date.issued2015-02en
dc.identifier.citationFox, A., & Elliott, N. (2015). Early Warning Scores: a sign of deterioration in patients and systems. Nursing Management, 22(1), 26-31. doi: http://dx.doi.org/10.7748/nm.22.1.26.e1337en
dc.identifier.urihttp://hdl.handle.net/10147/348551en
dc.description.abstractThe early warning score is a decision-making tool that has a simple design, yet its implementation in healthcare organisations is proving complex. This article reports the results of a survey that evaluated the nurses’ experiences of using the NEWS (National Early Warning Score) in an acute hospital in Ireland. Staff reported that the NEWS was easy to use, did not increase workload and enhanced their ability to identify deteriorating patients. However, they also identified problems related to doctors’ delayed response times, doctors lack of training in the use of the tool, and a failure by doctors to modify parameters for patients with chronic conditions. NEWS enhances nurses’ role in early detection of patient deterioration but delays in response times by doctors, exposes systematic flaws in healthcare. This suggests that it is not only an indicator of patient deterioration but also of deteriorating healthcare systems.en
dc.language.isoenen
dc.relation.urlhttp://dx.doi.org/10.7748/nm.22.1.26.e1337en
dc.subjectNURSEen
dc.subjectACUTE HOSPITALSen
dc.subject.otherEARLY WARNING SCOREen
dc.subject.otherNATIONAL EARLY WARNING SCORE (NEWS)en
dc.titleEarly warning scores: a sign of deterioration in patients and systemsen
dc.typeArticleen
dc.contributor.departmentAdrian FOX, Clinical Facilitator, St. James Hospital Dublin, ICU St. James street, Dublin 8, IRELAND adifox2010@hotmail.com Naomi ELLIOTT, Associate Professor, Trinity College Dublin, School of Nursing and Midwifery, 24 D’Olier Street, Dublin 2, IRELAND naomi.elliott@tcd.ieen
dc.identifier.journalNursing Managementen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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