Development, Implementation, and Evaluation of an In-Hospital Optimized Early Warning Score for Patient Deterioration.

ABSTRACT: Background. Identification of patients at risk of deteriorating during their hospitalization is an important concern. However, many off-shelf scores have poor in-center performance. In this article, we report our experience developing, implementing, and evaluating an in-hospital score for deterioration. Methods. We abstracted 3 years of data (2014-2016) and identified patients on medical wards that died or were transferred to the intensive care unit. We developed a time-varying risk model and then implemented the model over a 10-week period to assess prospective predictive performance. We compared performance to our currently used tool, National Early Warning Score. In order to aid clinical decision making, we transformed the quantitative score into a three-level clinical dec

SUBMITTER: O'Brien C 

PROVIDER: S-EPMC6956604 | biostudies-literature | 2020 Jan-Jun

REPOSITORIES: biostudies-literature