The Effectiveness of the Modified Early Warning Score (MEWS) for Surveillance of Patients before Entering Crisis Inpatient Department Sikhio Hospital Nakornratchasima Province

Abstract

          Objective: This research is descriptive research. To study the effectiveness of implementing the Modified Early Warning Score(MEWS). Used as a tool to detect disorders of the patients.Reassessment and Close monitoring of symptoms As well as providing nursing care to relieve symptoms.

          Methods: The sample group was patient medical records being assessed with an alarm system. That may be having complications and may result in increased severity of the disease. This includes patients who have worsened, died, or unplan referred to a tertiary hospital. Select the sample from the registered medical between January 2019 and June 2019 of 330 copies. Data were analyzed using descriptive statistic such as percentage, average and standard deviation

          Results: The results showed that there was a guideline of Modified Early Warning Score (MEWS) for Register nurse inpatient surveillance. They can be used to assess and monitor patients. The nurses recorded the physiological elements according to the 6 alarm system elements: blood pressure, heart rate, respiration rate, body temperature, body oxygen measured at fingertips, and Glasgow Coma Score was 100%. The highest level of surveillance for the first level was 71.8 %. Warn receiving nurses as specified by the criteria. And 100% received follow-up after providing care, the group of patients with level 1, 2 had the highest survival rate was 85.5%, and most had one day of the rank of stay was 29.4%.

          Conclusion: From the above findings there should be a promotion of the warning system to monitor the patient's condition before entering the crisis, to help the nurse make a decision. Care plan and consult an efficient team. Resulting in patients receiving timely care. Patient safety and the chance of complications is reduced.