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Do early warning track and trigger tools improve patient outcomes? A systematic synthesis without meta-analysis
Nicola Credland1, Judith Dyson2, Miriam J Johnson3
1Faculty of Health Sciences, School of Health and Social Work, The University of Hull, Hull, UK.
Early Warning Track and Trigger Tools significantly improve patient outcomes, reducing mortality and serious adverse events. Further research is needed to clarify impacts on hospital length of stay and cardiopulmonary arrests.
Area of Science:
- Clinical Medicine
- Patient Safety
- Healthcare Quality Improvement
Background:
- Early Warning Track and Trigger Tools (EWTTTs) are increasingly implemented to identify deteriorating patients.
- Effective implementation of EWTTTs is crucial for improving patient outcomes and hospital care.
Purpose of the Study:
- To systematically review the effect of EWTTTs on various patient outcomes.
- To synthesize evidence on the impact of EWTTTs on mortality, adverse events, and resource utilization.
Main Methods:
- A systematic review and narrative synthesis of international studies.
- Included 5 papers with over 74,000 patients, published between January 2013 and August 2018.
Main Results:
- EWTTTs showed statistically significant improvements in mortality, serious adverse events, hospital admissions, observation frequency, and ICU/HDU admissions.
- Conflicting results were observed for length of hospital stay and cardiopulmonary arrest rates.
Conclusions:
- EWTTTs aid in the early recognition of deteriorating patients, leading to improved clinical outcomes.
- Further research is required to fully understand the impact on hospital length of stay and cardiopulmonary arrests.
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