دورية أكاديمية
Using Quality Improvement to Introduce and Standardize the National Early Warning Score (NEWS) for Adult Inpatients at a Children's Hospital.
| العنوان: | Using Quality Improvement to Introduce and Standardize the National Early Warning Score (NEWS) for Adult Inpatients at a Children's Hospital. |
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| المؤلفون: | Conway-Habes EE; Division of Hospital Medicine, erin.conway@cchmc.org., Herbst BF Jr; Division of Hospital Medicine., Herbst LA; Division of Hospital Medicine., Kinnear B; Division of Hospital Medicine., Timmons K; Division of Hospital Medicine., Horewitz D; Clinical Affairs, and., Falgout R; Complex Surgery and Transplant, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., O'Toole JK; Division of Hospital Medicine., Vossmeyer M; Division of Hospital Medicine. |
| المصدر: | Hospital pediatrics [Hosp Pediatr] 2017 Mar; Vol. 7 (3), pp. 156-163. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Print ISSN: 2154-1663 (Print) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine |
| مواضيع طبية MeSH: | Nursing Assessment* , Quality Improvement* , Risk Assessment* , Severity of Illness Index*, Adult ; Algorithms ; Chronic Disease ; Electronic Health Records ; Hospitalization ; Hospitals, Pediatric ; Humans ; Middle Aged ; Ohio ; Program Evaluation ; Vital Signs ; Young Adult |
| مستخلص: | Introduction: The population of adults with childhood-onset chronic illness is growing across children's hospitals and constitutes a high risk population. National Early Warning Score (NEWS) is among the most recently validated adult early warning scores (EWSs) for early recognition of and response to clinical deterioration. Our aim was to implement and standardize NEWS scoring in 80% of patients age 21 and older admitted to a children's hospital. Methods: Our intervention was tested on a single unit of our children's hospital. The primary process measure was the percentage of NEWS documented within 1 hour of routine nursing assessments, and was tracked using a run chart. Improvement activities focused on effective training, key stakeholder buy-in, increased awareness, real-time mitigation of failures, accountability for adherence, and action-oriented response. We also tracked the distribution of NEWS values and medical emergency team calls. Results: The percentage of NEWS documented with routine nursing assessments for patients age 21 and over increased from 0% to 90% within 15 weeks and remained at 77% or greater for 17 weeks. Our distribution of NEWS values was similar to previously reported NEWS distribution. Conclusions: A nurse-driven adult early warning system for inpatients age 21 and older at a children's hospital can be achieved through a standardized EWS assessment process, incorporation into the electronic health record, and charge nurse and key stakeholder oversight. Furthermore, implementation of an adult EWS being used at a pediatric institution and our distribution of NEWS values were comparable to distribution published from adult hospitals. (Copyright © 2017 by the American Academy of Pediatrics.) |
| تواريخ الأحداث: | Date Created: 20170225 Date Completed: 20170926 Latest Revision: 20170926 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1542/hpeds.2016-0117 |
| PMID: | 28232377 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2154-1663 |
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| DOI: | 10.1542/hpeds.2016-0117 |