The Implementation of Early Warning Score for Early Detection of Death in Adult Inpatient Rooms
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Abstract
Introduction: The Early Warning Score (EWS) can be used to predict the likelihood of short-term and long-term death. It is associated with abnormalities in the condition of vital signs of patients who are at high risk of death, regardless of the intervention or timeliness of medical personnel.
Methods: This research is an innovation for the management of Evidence-based practice-based nursing actions. It was conducted using quantitative research (quasi-experiment) using post-test design with control group. The populations were all hospitalized patients in the adult room of the Subang Hospital.
Results: The result showed that the Gross Death Rate in the control group of 29 people with a percentage of 10.54% of the total number of respondents is 275. Then, in the intervention group, the GDR figure was a small percentage of 12 people with a percentage of 4.36%. Meanwhile, the Net Death Rate in the control group was 9 people with a percentage of 3.27%. In the intervention group, the number of NDR was small, namely 4 people with a percentage of 1.45%.
Conclusion: Based on the results and analysis of statistical tests that have been conducted on the implementation of the application of Early Warning Score (EWS), it was found that the detection of early death intervention group is lower than the control group. Early Warning scores significantly decreased the GDR and NDR in the intervention group compared to the control group.
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References
[2] I. Pinem, Z. Zulfendri, and S. S. Nasution, “Pengaruh Pengetahuan dan Motivasi Kerja Terhadap Penerapan Early Warning Score System di RSUP H Adam Malik,” VISIKES J. Kesehat. Masy., vol. 20, no. 1, 2021, doi: 10.33633/visikes.v20i1.4227.
[3] M. E. Ward et al., “Developing outcome, process and balancing measures for an emergency department longitudinal patient monitoring system using a modified Delphi,” BMC Emerg. Med., vol. 19, no. 1, 2019, doi: 10.1186/s12873-018-0220-3.
[4] C. S. Langkjaer, D. G. Bove, P. B. Nielsen, K. K. Iversen, M. H. Bestle, and G. Bunkenborg, “Nurses’ Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration—A Focus Group Study,” Nurs. Open, vol. 8, no. 4, 2021, doi: 10.1002/nop2.821.
[5] V. S. Eckle, S. Lehmann, and B. Drexler, “Prehospital management of patients with suspected acute coronary syndrome: Real world experience reflecting current guidelines,” Medizinische Klin. - Intensivmed. und Notfallmedizin, vol. 116, no. 8, pp. 694–697, Nov. 2021, doi: 10.1007/s00063-020-00739-3.
[6] L. H. Fu et al., “Development and validation of early warning score system: A systematic literature review,” Journal of Biomedical Informatics, vol. 105. 2020. doi: 10.1016/j.jbi.2020.103410.
[7] Y. An et al., “Risk prediction using the National Early Warning Score and the Worthing Physiological Scoring System in patients who were transported to the Intensive Care Unit from the Emergency Department: A cohort study,” Intensive Crit. Care Nurs., vol. 64, 2021, doi: 10.1016/j.iccn.2021.103015.
[8] C. A. Wirawan and S. A. W. Arsa, “Development of Guide Basic Life Support (BLS) Application Based on Android to Increase Accuracy Compression Ritme And Ventilation to Handling of Out Hospital Cardiac Arrest,” Babali Nurs. Res., vol. 1, no. 1, pp. 18–30, 2020, doi: 10.37363/bnr.2020.112.
[9] U. Ralapanawa et al., “Epidemiology and risk factors of patients with types of acute coronary syndrome presenting to a tertiary care hospital in Sri Lanka,” BMC Cardiovasc. Disord., vol. 19, no. 1, Oct. 2019, doi: 10.1186/s12872-019-1217-x.
[10] S. M. Manemann et al., “Acute coronary syndromes in the community,” Mayo Clin. Proc., vol. 90, no. 5, pp. 597–605, May 2015, doi: 10.1016/j.mayocp.2015.02.015.
[11] K. U. Fik, and J. B. Djohan, “Efektifitas Penggunaan Teknologi Early Warning Scoring Sytem (EWSS) Dalam Keperawatan,” J. Online Keperawatan Indones., vol. 2, no. 2, pp. 34–39, 2019.
[12] M. E. B. Smith et al., Early Warning System Scores: A Systematic Review. 2014.
[13] N. Subhan, G. W. Giwangkencana, M. A. Prihartono, and D. Tavianto, “Implementasi Early Warning Score pada Kejadian Henti Jantung di Ruang Perawatan Rumah Sakit Dr. Hasan Sadikin Bandung yang Ditangani Tim Code Blue Selama Tahun 2017,” J. Anestesi Perioper., vol. 7, no. 1, pp. 33–41, 2019, doi: 10.15851/jap.v7n1.1583.