Monitoring vital signs using early warning scoring systems: a review of the literature

Kyriacos, Una; Jelsma, Jennifer; Jordan, Sue

doi:10.1111/j.1365-2834.2011.01246.x

Cited by 137 publications

(102 citation statements)

References 88 publications

(212 reference statements)

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“…This was achieved by making the most of the numerical scoring classification. In doing so, the nurses were adhering to local policies; whilst on the other hand relinquishing their immediate responsibility to another healthcare professional, (Kyriacos 2011, Martin 2012, and Jackson & Penprase 2016 Remarkably, none of n=10 participants offered any explanation for the elevation of the physiological parameters. These parameters were essentially used as a landmark to connect the numerical score to the specific vital signs.…”

Section: Discussionmentioning

confidence: 99%

Factors that influence nurses' assessment of patient acuity and response to acute deterioration

et al. 2018

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Factors that influence nurses' assessment of patient acuity and response to acute deterioration.http://researchonline.ljmu.ac.uk/8425/ Article LJMU has developed LJMU Research Online for users to access the research output of the University more effectively. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LJMU Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain.The version presented here may differ from the published version or from the version of the record. Please see the repository URL above for details on accessing the published version and note that access may require a subscription. As they are responsible for the care they provide to their patients. A part of this care is the monitoring of the patient's vital signs such as blood pressure, pulse, respiratory rate, temperature, which are fundamental in the surveillance of health deterioration.

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Section: Discussionmentioning

confidence: 99%

Factors that influence nurses' assessment of patient acuity and response to acute deterioration

et al. 2018

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“…Despite considerable research into the validity and reliability of the early warning score, there is a need for more studies that consider issues relating to implementation, or how to make the NEWS successful in acute hospitals (Kyriacos et al 2011). The introduction of new systems into healthcare organisations is complex; Etherington (2014) argues that strategies to improve the implementation of early warning score systems need to take a 'whole-system' approach, ensuring that all professional groups take ownership for making the system work in their hospitals.…”

Section: Introductionmentioning

confidence: 99%

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

Fox

Elliott

2015

Nursing Management

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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.

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“…There are, however, very few clinical trials of early warning scores. 6 Adoption of NEWS with review of the effectiveness of this tool on a large scale can potentially provide assurance of the relevance of this tool in quality patient care. The support for the tool has been remarkable.…”

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confidence: 99%

NEWSDIG: The National Early Warning Score Development and Implementation Group

Jones

2012

Clinical Medicine

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Monitoring vital signs using early warning scoring systems: a review of the literature

Abstract: Recording vital signs is not enough. Patient safety continues to depend on nurses' clinical judgment of deterioration. Resources are needed to validate and evaluate MEWS/EWS systems in context.

Cited by 137 publications

References 88 publications

Factors that influence nurses' assessment of patient acuity and response to acute deterioration

Factors that influence nurses' assessment of patient acuity and response to acute deterioration

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

NEWSDIG: The National Early Warning Score Development and Implementation Group

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