New CE Webinars on Early Warning Scores
Early warning system (EWS) scores are tools used by hospital care teams to recognize the early signs of clinical deterioration to initiate early intervention. These tools involve assigning a numeric value to several physiologic parameters (e.g., systolic blood pressure, heart rate, oxygen saturation, respiratory rate, level of consciousness, and urine output) to derive a composite score that is used to identify a patient. Recent modifications have improved the consistency of patient outcomes.
Early warning system (EWS) scores are tools used by hospital care teams to recognize the early signs of clinical deterioration. Yet despite widespread use of EWS, there has been inconsistent improvement in patient outcomes. Using a combination of enabling technologies, automated scoring, algorithmic escalation, changes in traditional workflow and response by high -level providers, Dr. Kaleya has demonstrated a 30% decrease in failure to rescue.
Vital signs are a key component of patient care and treatment. However, research indicates that vital signs are not consistently assessed, recorded, or interpreted. This webinar will focus on the use of electronic collection and documentation of vital signs, and the use of algorithms to identify patients at risk for clinical deterioration.
Patients who deteriorate after ward admission have poor outcomes, including cardiac arrest and death, even after admission to intensive care or high dependency units. Clinical deterioration is almost always heralded by abnormalities in commonly obtained vital signs, hours to days in advance. However, these abnormalities are often overlooked or not responded to in a timely manner. Early warning systems have emerged over the last two decades as recognition of the problem of “failure to rescue” has become apparent.
Sepsis and the deteriorating patient present a clinical conundrum for early identification and intervention in and out of the ICU. Utilizing a modified early warning score (MEWS) and sepsis alerts can fast track recognition and preventative therapies. Admissions to the intensive care unit (ICU) from the wards have a higher mortality when compared to patients admitted from the emergency department. Failure to appreciate physiological derangements of breathing and mental status may lead to significant deterioration. The modified early warning score (MEWS) is a very useful tool for identifying hospitalized patients in need of a higher level of care and those at risk of in-hospital death.