Implementation of a MEWS-Sepsis screening tool: Transformational outcomes of a nurse-led evidence-based practice project
| Autor: | Jamie K. Roney, JoAnn D. Long, Barbara Erin Whitley |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management Evidence-based practice Psychological intervention Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Acute care Sepsis Health care Medicine Humans Mass Screening 030212 general & internal medicine General Nursing 030504 nursing Warning system business.industry Evidence-Based Nursing Middle Aged medicine.disease Mews Hospitalization Nursing Research Transformational leadership Female Medical emergency 0305 other medical science business |
| Zdroj: | Nursing forumREFERENCES. 55(2) |
| ISSN: | 1744-6198 |
| Popis: | Background One in three patients who die in the hospital has sepsis. Alerting clinicians to early detection of high-risk patients before deterioration is a top health care priority. Modified Early Warning Scoring (MEWS) tools have assisted organizations in identifying at-risk patients at the first sign of subtle deterioration. Aim and setting In conjunction with an academic-clinical partner, we evaluated, revised and implemented a modified MEWS-Sepsis screening tool in an acute care facility. Participants One hundred and thirty-nine direct-care nurses participated in tool evaluation. Methods Using a plan-do-study-act cycle of quality improvement, critical care scenarios from septic patient data were created and tested in a simulated setting. Results Upon implementation of the MEWS-Sepsis tool, the monthly risk-adjusted sepsis mortality rate immediately declined by 24%. The decline in mortality has been sustained from implementation to the present, spanning a 5-year period. Conclusions The implementation of a MEWS-Sepsis screening tool contributed to early identification and implementation of time-sensitive interventions aimed at preventing sepsis-associated deaths. MEWS-Sepsis tools hold potential for scale-up and spreading out of evidence-based practice nursing innovations to transform care, improve patient outcomes, and save lives. |
| Databáze: | OpenAIRE |
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