Using an Early Warning Score for Nurse Shift Patient Handover: Before-and-after Study

Hwang, Jee‐In; Kim, Sung Wan

doi:10.1016/j.anr.2021.12.005

Cited by 5 publications

(6 citation statements)

References 30 publications

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“…According to Hwang and Kim (2022), EWS documentation is used during patient handovers to improve patient safety. The use of NEWS2 can enhance handover quality, teamwork, and the safety climate.…”

Section: The Relationship Between Work Shift and The Implementation O...mentioning

confidence: 99%

Factor Analysis in the Implementation of Early Warning System Documentation in Psychiatric Hospitals

Mawaddah,

Prastya,

Bogohanto

2023

IJOSH

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Introduction: An early warning system (EWS) is a tool to rapidly identify patient deterioration and prevent adverse events. However, the implementation and documentation have not been carried out optimally. This study aims to analyze factors related to the implementation of EWS documentation in a psychiatric hospital in Malang. Methods: The study was an analytical observational study with a cross-sectional design. The study population was all nurses in the intensive care unit of the hospital, with a total sample of 60 respondents selected using a proportional random sampling technique. Data collection used demographic data questionnaires, workload questionnaires, and observation sheets for the implementation of EWS documentation of patients through the hospital management information system. Analysis of the data used the chi-square test. Results: Implementation of EWS documentation was significantly related to workload and EWS training (p<0.05). Implementation of EWS documentation was not related to age, gender, education level, years of service, employment status, and work shift (p>0.05). Conclusion: Nurses with light workloads and who had attended EWS training created good documentation successfully (100%). Hospitals need to review their management in planning, developing, and fostering nursing resources, especially the provision of continuous training accompanied by equitable EWS monitoring for nurses in psychiatric hospitals.

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Section: The Relationship Between Work Shift and The Implementation O...mentioning

confidence: 99%

Factor Analysis in the Implementation of Early Warning System Documentation in Psychiatric Hospitals

Mawaddah,

Prastya,

Bogohanto

2023

IJOSH

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“…To prevent the unplanned transfer to ICU and mortality Hwang and Kim (2022) highlighted the importance of introducing nurses to the Modified Early Warning Score or National Early Warning Score. Modified Early Warning Score is a simple bedside scoring index that evaluates the patient's physiological state based on six vital parameters: heart rate, blood pressure, respiratory rate, core body temperature, mental status, and urine output [22]. National Early Warning Score is a tool developed by the Royal College of Physicians which improves the detection and response to clinical deterioration in adult patients and is a key element of patient safety and improving patient outcomes [23].…”

Section: Importance Of Vital Signs Monitoring and Documentationmentioning

confidence: 99%

Fostering Patient Safety: Importance of Nursing Documentation

Samani¹,

Rattani²

2023

OJN

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Background: Nurses are professionally accountable for assessing and documenting patients' vital signs. Nurses failing to fulfill this responsibility position their patients at risk. This paper presents two real-life cases pertaining to patients' safety resulting in fatal outcomes, leading to the professional, legal, and ethical liability of nurses as the providers of patient care. Objective: This paper focuses on the role of organizational culture in fostering patient safety specifically in monitoring and documentation of patients' vital signs and early recognition of warning signs. Methodology: A comprehensive literature search was conducted using various databases, examining the significance of vital signs monitoring and documentation and early warning signs in patient safety. Relevant articles combining quantitative and qualitative data were analyzed. Results: By fostering an environment of honest reporting, healthcare organizations can enhance patient safety and improve the quality of care. This paper offers valuable insights and recommendations for developing effective strategies aligned with organizational policies and protocols. Conclusion: This paper serves as a valuable resource, encouraging healthcare professionals to reflect on their practices and the organizations to assess their contributions to creating a culture of safety. It also highlights the importance of reporting and disclosing adverse events as learning opportunities and outlines the role of ethics, professionalism, legislation, and organizational support in achieving patient safety.

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“…The most critical point for communication is the handover ( 22 , 23 ) that has to be structured to improve the safety by building a care setting in which information is encoded so that “the sender” and “the receiver” can understand whether the process has been correctly performed ( 21 , 24 ). It is therefore useful to implement “the closed loop communication” ( 25 ) to make all the caregivers able to verify the exact and complete communication of the patient’s clinical condition by a clear and shared language in terms of parameters and nomenclature understandable by all the caregivers involved in the patient care.…”

Section: The Patient Safety In Ebpt Of Critical Patientsmentioning

confidence: 99%

The patient safety in extracorporeal blood purification treatments of critical patients

Nalesso¹,

Garzotto²,

Martello³

et al. 2022

Front. Nephrol.

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Today, health systems are complex due to both the technological development in diagnostic and therapeutic procedures and the complexity of the patients that are increasingly older with several comorbidities. In any care setting, latent, organizational, and systematic errors can occur causing critical incident harmful for patients. Management of patients with acute kidney injury (AKI) requires a multidisciplinary approach for the diagnostic-therapeutic-rehabilitative path that can also require an extracorporeal blood purification treatment (EBPT). The complexity of these patients and EBPT require a clinical risk analysis and the introduction of protocols, procedures, operating instructions, and checklists to reduce clinical risk through promotion of the safety culture for all care providers. Caregivers must acquire a series of tools to evaluate the clinical risk in their reality to prevent incidents and customize patient safety in a proactive and reactive way. Established procedures that are made more needed by the COVID-19 pandemic can help to better manage patients in critical care area with intrinsic higher clinical risk. This review analyzes the communication and organizational aspects that need to be taken into consideration in the management of EBPT in a critical care setting by providing tools that can be used to reduce the clinical risk. This review is mostly addressed to all the caregivers involved in the EBPT in Critical Care Nephrology and in the Intensive Care Units.

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Using an Early Warning Score for Nurse Shift Patient Handover: Before-and-after Study

Cited by 5 publications

References 30 publications

Factor Analysis in the Implementation of Early Warning System Documentation in Psychiatric Hospitals

Factor Analysis in the Implementation of Early Warning System Documentation in Psychiatric Hospitals

Fostering Patient Safety: Importance of Nursing Documentation

The patient safety in extracorporeal blood purification treatments of critical patients

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