The Results of Using the Evaluation form for Early Warning Signs on Unplanned ICU Admission and Mortality Rate in Internal Medicine Ward at Thammasat University Hospital
Keywords:
Modified early warning scores system, Unplanned ICU, Mortality rateAbstract
The quality of patient care and patient safety is considered the most important practice in medical care. The evaluation of clinical status is crucial to prevent the degradation and mortality. The study is aimed to determine effects of the evaluation of early warning signs on unplanned ICU admission and mortality rate.
A quasi-experimental research, comparing two groups study was performed in a medical ward at Thammasat University Hospital between January to June 2014. A total of 180 patients were enrolled in the study for a period of 12 weeks (90 people per group). The experimental group were assessed by Modified early warning scores system (MEWS). The data were analyzed using descriptive statistics.
After12 weeks of the study (post-study period), the incidence rate of unplanned ICU and mortality rates were lower in the experimental group (p< 0.01 and < 0.05 consequently). Encouragement of using of Modified early warning scores system (MEWS) for patients care can improve patient care. Implementation of this tool can decrease unplanned ICU and mortality rate. Further studies are needed with larger population and longer period of study to verify the effectiveness of this practice.
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