Incorporating an Early Detection System Into Routine Clinical Practice in Two Community Hospitals.

ABSTRACT: Efforts to improve outcomes of patients who deteriorate outside the intensive care unit have included the use of rapid response teams (RRTs) as well as manual and automated prognostic scores. Although automated early warning systems (EWSs) are starting to enter clinical practice, there are few reports describing implementation and the processes required to integrate early warning approaches into hospitalists' workflows. We describe the implementation process at 2 community hospitals that deployed an EWS. We employed the Institute for Healthcare Improvement's iterative Plan-Do-Study-Act approach. Our basic workflow, which relies on having an RRT nurse and the EWS's 12-hour outcome time frame, has been accepted by clinicians and has not been associated with patient complaints. Whereas our ma

SUBMITTER: Dummett BA 

PROVIDER: S-EPMC5568844 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature