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[Early Warning System for Illness Deterioration in Critically Ill Patients]
1PhD, RN, Adjunct Associate Professor, Department of Living Science, National Open University, Taiwan, ROC. hlliouling@gmail.com.
Hu Li Za Zhi the Journal of Nursing
|January 22, 2020
Summary
Early warning systems help detect patient deterioration in critical care. This review covers systems like Sequential Organ Failure Assessment to improve outcomes for critically ill patients.
Area of Science:
- Critical Care Medicine
- Nursing
- Health Informatics
Background:
- Monitoring critically ill patients is vital for timely medical intervention.
- Early detection of patient deterioration is crucial for improving prognosis.
- Existing literature on early warning systems (EWS) needs synthesis.
Purpose of the Study:
- To review empirical literature on EWS for critically ill patients.
- To introduce common EWS used in critical care.
- To encourage the application and validation of EWS by nursing staff.
Main Methods:
- Literature review of empirical studies on EWS.
- Identification and description of current and historical EWS.
- Focus on disease severity assessment, early warning scoring, and Sequential Organ Failure Assessment.
Main Results:
- Several EWS exist for monitoring critically ill patients.
- Disease severity assessment, early warning scoring, and Sequential Organ Failure Assessment are key systems.
- Evidence supports the use of EWS for early detection of deterioration.
Conclusions:
- EWS are essential tools in critical care for patient monitoring.
- Application and validation of EWS by nurses can enhance patient care.
- Improved EWS utilization can lead to better patient outcomes and prognosis.
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