Implementation of Early Warning Score (EWS) in Inpatient Ward: Scooping Review

Suprayogi Suprayogi; Viky Noviani Hemu; Sri Setiyarini

doi:10.31101/ijhst.v5i2.3281

Penulis

Suprayogi Suprayogi Universitas Gadjah Mada Yogyakarta, Indonesia
Viky Noviani Hemu Universitas Gadjah Mada Yogyakarta, Indonesia
Sri Setiyarini Universitas Gadjah Mada Yogyakarta, Indonesia

DOI:

https://doi.org/10.31101/ijhst.v5i2.3281

Kata Kunci:

Nurse, Early Warning Score, Early Warning System, Detected worsening of the patient

Abstrak

Early Warning Score (EWS) Implementation in Inpatient Ward: Scooping Review.The implementation of EWS is known to reduce the worsening rate of patients in the inpatient ward, accuracy in implementing can affect decision making in treating patients. Research shows that there is still little literature review that discusses the application of EWS. Therefore, it is necessary to conduct a scooping review related to the application of EWS. The purpose of this study was to identify how to apply EWS in inpatient wards in hospitals. The research method follows the framework of Arksey and O'Malley. The scooping review was conducted by 3 databases of PubMed, ScienceDirect, Scopus published from 2014-2023 in March, using English and Indonesian which discussed the implementation of EWS in hospitals using the keywords 'Nurse', 'Early Warning Score', 'Early Warning System', detect deterioration patient'. The results obtained as many as 179 potentially relevant articles, 7 articles identified. The findings revealed that the application of EWS carried out in the hospital consisted of recording observation sheets, frequency of patient monitoring according to the EWS score, actions according to the EWS protocol applied and the time of measurement of patient vital signs

Biografi Penulis

Sri Setiyarini, Universitas Gadjah Mada Yogyakarta

Dosen Departemen Keperawatan Dasar dan Emergency, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Referensi

Andersen, L. W., Kim, W. Y., Chase, M., Mortensen, S. J., Moskowitz, A., Novack, V., ... & Donnino, M. W. (2016). The prevalence and significance of abnormal vital signs prior to in-hospital cardiac arrest. Resuscitation, 98, 112-117. https://doi.org/10.1016/j.resuscitation.2015.08.016

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Bergs, J., Lambrechts, F., Simons, P., Vlayen, A., Marneffe, W., Hellings, J., ... & Vandijck, D. (2015). Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. BMJ quality & safety, 24(12), 776-786. http://dx.doi.org/10.1136/bmjqs-2015-004021

Diyah et. al. (2018). Pengaruh Early Warning System terhadap Kompetensi Perawat : LiteratureReview.191–378. http://library.poltekkesjambi.ac.id/uploaded_files/temporary/DigitalCollection/Y2Q1MTY4NDUyMDhiMWViZmYzZjBlNTU2Y2U2OGI1ZDRjMzc3YTE0ZA==.pdf#page=191

Douw, G., Huisman-de Waal, G., van Zanten, A. R., van der Hoeven, J. G., & Schoonhoven, L. (2016). Nurses’‘worry’as predictor of deteriorating surgical ward patients: A prospective cohort study of the Dutch-Early-Nurse-Worry-Indicator-Score. International journal of nursing studies, 59, 134-140. https://doi.org/10.1016/j.ijnurstu.2016.04.006

Fang, A. H. S., Lim, W. T., & Balakrishnan, T. (2020). Early warning score validation methodologies and performance metrics: a systematic review. BMC medical informatics and decision making, 20(1), 1-7. https://doi.org/10.1186/s12911-020-01144-8

Farenden, S., Gamble, D., & Welch, J. (2017). Impact of implementation of the National Early Warning Score on patients and staff. British Journal of Hospital Medicine, 78(3), 132-136. https://doi.org/10.12968/hmed.2017.78.3.132

Handayani, N., Fauzi, A., Romaida, R., & Murtiani, F. (2022). The Relationship Nurses' Knowledge and Implementation of Early Warning Score (EWS) In Critical Patients at Sulianti Saroso Infectious Disease Hospital. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 8(3). https://doi.org/10.33755/jkk.v5i2

Holland, M., & Kellett, J. (2023). The United Kingdom’s National Early Warning Score: should everyone use it? A narrative review. Internal and Emergency Medicine, 18(2), 573–583. https://doi.org/10.1007/s11739-022-03189-1

Iskandar, E. (2017). Tata Kelola dan Kepatuhan Penerapan Standar Patient Safety Penyakit Stroke di Rumah Sakit Dr. Kanujoso Djatiwibowo Tahun 2015. Jurnal Administrasi Rumah Sakit Indonesia, 3(3). http://dx.doi.org/10.7454/arsi.v3i3.2222

KemenKes. (2022). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MenKes/1128/2022 tentang Standar Akreditasi Rumah Sakit.

Ludikhuize, J., Borgert, M., Binnekade, J., Subbe, C., Dongelmans, D., & Goossens, A. (2014). Standardized measurement of the Modified Early Warning Score results in enhanced implementation of a Rapid Response System: a quasi-experimental study. Resuscitation, 85(5), 676-682. https://doi.org/10.1016/j.resuscitation.2014.02.009

Martín-Rodríguez, F., López-Izquierdo, R., del Pozo Vegas, C., Sánchez-Soberón, I., Delgado-Benito, J. F., Martín-Conty, J. L., & Castro-Villamor, M. A. (2020). Can the prehospital National Early Warning Score 2 identify patients at risk of in-hospital early mortality? A prospective, multicenter cohort study. Heart & Lung, 49(5), 585-591. https://doi.org/10.1016/j.hrtlng.2020.02.047

Metcalfe, L., McNally, S., & Smith, S. M. (2017). A review of inpatient ward location and the relationship to Medical Emergency Team calls. International Emergency Nursing, 31, 52-57. https://doi.org/10.1016/j.ienj.2016.02.002

Morrison, L. J., Neumar, R. W., Zimmerman, J. L., Link, M. S., Newby, L. K., McMullan Jr, P. W., ... & Edelson, D. P. (2013). Strategies for improving survival after in-hospital cardiac arrest in the United States: 2013 consensus recommendations: a consensus statement from the American Heart Association. Circulation, 127(14), 1538-1563. https://doi.org/10.1161/CIR.0b013e31828b2770

O’Brien, C., Goldstein, B. A., Shen, Y., Phelan, M., Lambert, C., Bedoya, A. D., & Steorts, R. C. (2020). Development, implementation, and evaluation of an in-hospital optimized early warning score for patient deterioration. MDM policy & practice, 5(1), 2381468319899663. https://doi.org/10.1177/2381468319899663

Olang, J., Manik, M. J., & Simamora, O. (2019). Nurses’knowledge of Early Warning Score at a Private Hospital in Eastern Indonesia. Nursing Current: Jurnal Keperawatan, 7(1), 9-15.

Palareti, G., Legnani, C., Cosmi, B., Antonucci, E., Erba, N., Poli, D., Testa, S., & Tosetto, A. (2016). Comparison between different D-Dimer cutoff values to assess the individual risk of recurrent venous thromboembolism: Analysis of results obtained in the DULCIS study. In International Journal of Laboratory Hematology (Vol. 38, Issue 1). https://doi.org/10.1111/ijlh.12426

Passa, B. M., Kamil, H., & Syarif, H. (2021). Hubungan Pengetahuan , Sikap , dan Keterampilan Perawat dengan Penerapan Sistem Peringatan Dini Pada Rumah Sakit Pemerintah Aceh. 10, 62–66. https://doi.org/10.9790/1959-1005096266

Petersen, J. A. (2018). Early warning score. Danish Medical Journal, 65(2), B5439.

Pradnyana, I. G. B. A., Susila, I. M. D. P., & Hakim, N. R. (2021). Hubungan Tingkat Pengetahuan dengan Kepatuhan Perawat dalam Menjalankan Early Warning Score di Rumah Sakit Bimc Kuta. Jurnal Online Keperawatan Indonesia, 4(1), 35-42. https://doi.org/10.51544/keperawatan.v4i1.1834

Roberts, D., & Djärv, T. (2017). Preceding national early warnings scores among in-hospital cardiac arrests and their impact on survival. The American journal of emergency medicine, 35(11), 1601-1606. https://doi.org/10.1016/j.ajem.2017.04.072

Rossetti et al., (2021). The Communicating Narrative Concerns Entered by Registered Nurses (CONCERN) Clinical Decision Support Early Warning System: Protocol for a Cluster Randomized Pragmatic Clinical Trial. JMIR Research Protocols, 10(12), 1–9. https://doi.org/10.2196/30238

Royal College of Physicians. (2017). National Early Warning Score (NEWS) 2.Standardising the assessment of acute-illness severity in the NHS. Updated Report of a Working Party.

Smith, G. B., Prytherch, D. R., Meredith, P., Schmidt, P. E., & Featherstone, P. I. (2013). The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation, 84(4), 465-470. https://doi.org/10.1016/j.resuscitation.2012.12.016

Spagnolli, W., Rigoni, M., Torri, E., Cozzio, S., Vettorato, E., & Nollo, G. (2017). Application of the National Early Warning Score (NEWS) as a stratification tool on admission in an Italian acute medical ward: A perspective study. International journal of clinical practice, 71(3-4), e12934. https://doi.org/10.1111/ijcp.12934

Subhan, N., Giwangkencana, G. W., Prihartono, M. A., & Tavianto, D. (2019). 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. Jurnal Anestesi Perioperatif, 7(1), 33-41. https://doi.org/10.15851/jap.v7n1.1583

Trajkovska, A., Farooq, M., & Richardson, D. (2019). Management of abnormal observations in the emergency department: A review. Emergency Medicine Australasia, 31(4), 569-574. https://doi.org/10.1111/1742-6723.13208

Uppanisakorn, S., Bhurayanontachai, R., Boonyarat, J., & Kaewpradit, J. (2018). National Early Warning Score (NEWS) at ICU discharge can predict early clinical deterioration after ICU transfer. Journal of Critical Care, 43, 225-229. https://doi.org/10.1016/j.jcrc.2017.09.008

Wood, C., Chaboyer, W., & Carr, P. (2019). How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. International Journal of Nursing Studies, 94, 166–178. https://doi.org/10.1016/j.ijnurstu.2019.03.012