Recognizing sepsis using a modified early warning scoring (MEWS) tool
View File(s)
- Author(s)
- Details
-
Erin Whitley, RN; Jamie K. Roney, RN-C, CCRN; JoAnn D. Long, RN, NEA-BC; Stephanie R. Dunkle, RN; Jessica Maples, RN-C
- Sigma Affiliation
- Iota Mu
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Whitley, Erin by View
Title | Page Views |
---|
Popular Works for Whitley, Erin by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Friday, July 24, 2015:
Purpose: The incidence of sepsis is increasing worldwide. Early identification of sepsis is critical to patient survival. Despite advances in the identification and treatment of sepsis 35-50% of patients still die (Cildir et al., 2012). Few tools developed from sound research have been introduced to address acute declines in patient condition outside of the intensive care unit (ICU). Testing of MEWS tools has been mostly retrospective and gaps exist in data related to reliability and validity testing and outcome measurement. Septic patients may experience sudden changes in status and quickly deteriorate requiring emergent medical management or cardiopulmonary resuscitative efforts. A modified early warning scoring (MEWS) tool incorporating crucial sepsis indicators could save lives. The purpose of this project is to determine if a modified early warning scoring (MEWS) tool, adapted to include systemic inflammatory response syndrome (SIRS) criteria, can decrease mortality, length of stay, and cost to treat septic patients.
Methods: This study will use a comparative descriptive design. The charts of all patients diagnosed with sepsis will be evaluated during the six-month period from January 2014 to July 2014 prior to implementation of a MEWS tool with SIRS criteria and the charts of all patients diagnosed with sepsis from August 2014 to January 2015 after implementation of a MEWS tool with SIRS criteria will be evaluated. The research questions for this study are: 1) Is there a difference in mortality in sepsis patients scored using a MEWS tool as compared to sepsis patients who did not use the MEWS assessment tool? 2) Is there a difference in length of stay for septic patients post MEWS implementation? 3) Does use of MEWS tool decrease cost to treat septic patients? Descriptive statistics will be collected and reported on the mortality rates, length of stay, and cost to treat in both groups. A Chi-square test, alpha 0.05, will be used to determine if a proportional difference exists between the groups for each of the study variables.
Results: Data collection for this project is in progress.
Conclusion: Early warning systems facilitate identification of all at-risk patients. Nurses accurately identifying and regularly assessing patient vital signs, laboratory data, and other physiological findings are essential to a successful sepsis recognition tool. The researcher expects to find a MEWS tool which incorporates SIRS criteria will be effective in identifying adult hospitalized patients at-risk for clinical decline from sepsis and will decrease mortality, length of stay, and cost to treat.
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Sepsis; Systemic Inflammatory Response Syndrome; Modified Early Warning Score |
CINAHL Subject(s) | Systemic Inflammatory Response Syndrome--Diagnosis; Sepsis--Diagnosis; Sepsis; Severity of Illness Indices |
Name | 26th international Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | San Juan, Puerto Rico |
Date | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Reliability testing of a modified early warning score (MEWS) system
Dunkle, Stephanie R.; Whitley, Erin; Roney, Jamie K.; Maples, Jessica; Long, JoAnn D.; Marchand, Staci; Hughes, Stacy (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: internationally there is a lack of consensus on what should be included in modified early warning scoring (MEWS) tools. Furthermore, few studies have reported reliability ... -
Literature review of modified early warning scoring tools including sepsis screening criteria
Roney, Jamie K.; Whitley, Erin; Maples, Jessica; Long, JoAnn D.; Stunkard, Kimberley A. (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: The purpose of this comprehensive literature review was to evaluate current published evidence reporting decreased failure to rescue effects from modified early warning ... -
Reliability testing of a modified early warning scoring (MEWS)
Futrell, Lexie Scarborough; Stunkard, Kimberley A.; Whitley, Erin; Maples, Jessica; Roney, Jamie K.; Long, JoAnn D. (2013-10-22)Session presented on: Thursday, July 25, 2013: Purpose: Research was guided by Institute for Healthcare Improvement's Transforming Care at the Bedside framework. Evidence suggests clinical signs of patient deterioration ... -
Usability and acceptability testing of a modified early warning scoring (MEWS) tool using simulation
Roney, Jamie K.; Long, JoAnn D.; Maples, Jessica; Stunkard, Kimberley A.; Whitley, Barbara Erin; Futrell, Lexie Scarborough (2013-10-22)Session presented on: Thursday, July 25, 2013: Purpose: Anticipating barriers when introducing a new form to nurses for incorporation into their daily routine, Kurt Lewin's action research model for change was used as a ... -
Modified early warning score tool kit: Multi-disciplinary implications for practice
Gilliland, KelliUS incidence of in-hospital cardiac arrest exceeded over 200,000 events in 2016 with survival rates of less than 25%. As much as 66% of in-hospital cardiac arrests are determined to be preventable with early warning signs ...