The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards
Summary Aim To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the r...
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| Veröffentlicht in: | Resuscitation 2007-09, Vol.74 (3), p.470-475 |
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| creator | Odell, M Rechner, I.J Kapila, A Even, T Oliver, D Davies, C.W.H Milsom, L Forster, A Rudman, K |
| description | Summary Aim To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. Method Five annual point prevalence surveys of all adult, non-obstetric acute inpatients ( n = 2638) in two Hospitals (A and B) were carried out between 2001 and 2005. The R-MEWS system was implemented incrementally in both hospitals to include all study group patients, but a CCO service was only available in Hospital A. Data were collected on numbers of patients, routinely documented physiological observations and R-MEW score. Results Respiratory rate (RR) recording increased from 6.0% in the first survey to 77.9% in the last, which correlated with the incremental implementation of the R-MEWS system. Hospital A that had the CCO service showed a greater increase in RR recording than Hospital B with no CCO service. Conclusion The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service. |
| doi_str_mv | 10.1016/j.resuscitation.2007.01.035 |
| format | Article |
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Method Five annual point prevalence surveys of all adult, non-obstetric acute inpatients ( n = 2638) in two Hospitals (A and B) were carried out between 2001 and 2005. The R-MEWS system was implemented incrementally in both hospitals to include all study group patients, but a CCO service was only available in Hospital A. Data were collected on numbers of patients, routinely documented physiological observations and R-MEW score. Results Respiratory rate (RR) recording increased from 6.0% in the first survey to 77.9% in the last, which correlated with the incremental implementation of the R-MEWS system. Hospital A that had the CCO service showed a greater increase in RR recording than Hospital B with no CCO service. Conclusion The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2007.01.035</identifier><identifier>PMID: 17420083</identifier><identifier>CODEN: RSUSBS</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical death. Palliative care. Organ gift and preservation ; Critical Care - statistics & numerical data ; Critical care outreach ; Early warning score ; Emergency ; Emergency and intensive respiratory care ; Forms and Records Control ; Heart Arrest - diagnosis ; Heart Arrest - epidemiology ; Heart Arrest - prevention & control ; Humans ; Inpatient ; Inpatients ; Intensive care medicine ; Medical Records ; Medical sciences ; Monitoring, Physiologic - methods ; Monitoring, Physiologic - statistics & numerical data ; Patients' Rooms ; Prevalence ; Respiratory Mechanics - physiology ; Respiratory rate ; Severity of Illness Index ; United Kingdom - epidemiology</subject><ispartof>Resuscitation, 2007-09, Vol.74 (3), p.470-475</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2007 Elsevier Ireland Ltd</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-3f2ef0ec95d8bf04daf677b33e95a9e82477633adba99378c885de23519cfcd93</citedby><cites>FETCH-LOGICAL-c466t-3f2ef0ec95d8bf04daf677b33e95a9e82477633adba99378c885de23519cfcd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0300957207000792$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19002088$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17420083$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Odell, M</creatorcontrib><creatorcontrib>Rechner, I.J</creatorcontrib><creatorcontrib>Kapila, A</creatorcontrib><creatorcontrib>Even, T</creatorcontrib><creatorcontrib>Oliver, D</creatorcontrib><creatorcontrib>Davies, C.W.H</creatorcontrib><creatorcontrib>Milsom, L</creatorcontrib><creatorcontrib>Forster, A</creatorcontrib><creatorcontrib>Rudman, K</creatorcontrib><title>The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Summary Aim To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. Method Five annual point prevalence surveys of all adult, non-obstetric acute inpatients ( n = 2638) in two Hospitals (A and B) were carried out between 2001 and 2005. The R-MEWS system was implemented incrementally in both hospitals to include all study group patients, but a CCO service was only available in Hospital A. Data were collected on numbers of patients, routinely documented physiological observations and R-MEW score. Results Respiratory rate (RR) recording increased from 6.0% in the first survey to 77.9% in the last, which correlated with the incremental implementation of the R-MEWS system. Hospital A that had the CCO service showed a greater increase in RR recording than Hospital B with no CCO service. Conclusion The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Critical Care - statistics & numerical data</subject><subject>Critical care outreach</subject><subject>Early warning score</subject><subject>Emergency</subject><subject>Emergency and intensive respiratory care</subject><subject>Forms and Records Control</subject><subject>Heart Arrest - diagnosis</subject><subject>Heart Arrest - epidemiology</subject><subject>Heart Arrest - prevention & control</subject><subject>Humans</subject><subject>Inpatient</subject><subject>Inpatients</subject><subject>Intensive care medicine</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - methods</subject><subject>Monitoring, Physiologic - statistics & numerical data</subject><subject>Patients' Rooms</subject><subject>Prevalence</subject><subject>Respiratory Mechanics - physiology</subject><subject>Respiratory rate</subject><subject>Severity of Illness Index</subject><subject>United Kingdom - epidemiology</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkt2KFDEQhRtR3HH1FSQgejdjpTPd6SAIy7L-wIIXrtchk1R2M_YkY5JemQfwva12Bha98iIUJF_VCedU07zisOLA-7fbVcYyFRuqqSHFVQsgV8BXILpHzYIPUix5J-FxswABsFSdbM-aZ6VsAQhR8mlzxuWaugaxaH7d3CFD79FWljwzzOZQgzUjsyYjS1PNaOwdK5jvg0VmoqPD0OTxwH6aHEO8ZcWm_KceSsUdS5HRD_chm5rygVFBuiDGzRC9VtK8xYiZZGiGK8-bJ96MBV-c6nnz7cPVzeWn5fWXj58vL66Xdt33dSl8ix7Qqs4NGw9rZ3wv5UYIVJ1ROLRrKXshjNsYpYQc7DB0DlvRcWW9dUqcN2-Oc_c5_ZiwVL0LxeI4mohpKrofuOik4gS-O4I2p1Iyer3PYWfyQXPQcwp6q_9KQc8paOCaLKbulyeZabND99B7sp2A1yfAFPLaZxNtKA-cAmhhGIi7OnJIptwHzJoEMVp0gQyt2qXwnx96_88cO4Y4x_wdD1i2acqRfNdcl1aD_jovzrw3IGlnpGrFb6AgxYU</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Odell, M</creator><creator>Rechner, I.J</creator><creator>Kapila, A</creator><creator>Even, T</creator><creator>Oliver, D</creator><creator>Davies, C.W.H</creator><creator>Milsom, L</creator><creator>Forster, A</creator><creator>Rudman, K</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards</title><author>Odell, M ; Rechner, I.J ; Kapila, A ; Even, T ; Oliver, D ; Davies, C.W.H ; Milsom, L ; Forster, A ; Rudman, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-3f2ef0ec95d8bf04daf677b33e95a9e82477633adba99378c885de23519cfcd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Critical Care - statistics & numerical data</topic><topic>Critical care outreach</topic><topic>Early warning score</topic><topic>Emergency</topic><topic>Emergency and intensive respiratory care</topic><topic>Forms and Records Control</topic><topic>Heart Arrest - diagnosis</topic><topic>Heart Arrest - epidemiology</topic><topic>Heart Arrest - prevention & control</topic><topic>Humans</topic><topic>Inpatient</topic><topic>Inpatients</topic><topic>Intensive care medicine</topic><topic>Medical Records</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - methods</topic><topic>Monitoring, Physiologic - statistics & numerical data</topic><topic>Patients' Rooms</topic><topic>Prevalence</topic><topic>Respiratory Mechanics - physiology</topic><topic>Respiratory rate</topic><topic>Severity of Illness Index</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Odell, M</creatorcontrib><creatorcontrib>Rechner, I.J</creatorcontrib><creatorcontrib>Kapila, A</creatorcontrib><creatorcontrib>Even, T</creatorcontrib><creatorcontrib>Oliver, D</creatorcontrib><creatorcontrib>Davies, C.W.H</creatorcontrib><creatorcontrib>Milsom, L</creatorcontrib><creatorcontrib>Forster, A</creatorcontrib><creatorcontrib>Rudman, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Odell, M</au><au>Rechner, I.J</au><au>Kapila, A</au><au>Even, T</au><au>Oliver, D</au><au>Davies, C.W.H</au><au>Milsom, L</au><au>Forster, A</au><au>Rudman, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>74</volume><issue>3</issue><spage>470</spage><epage>475</epage><pages>470-475</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><coden>RSUSBS</coden><abstract>Summary Aim To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. Method Five annual point prevalence surveys of all adult, non-obstetric acute inpatients ( n = 2638) in two Hospitals (A and B) were carried out between 2001 and 2005. The R-MEWS system was implemented incrementally in both hospitals to include all study group patients, but a CCO service was only available in Hospital A. Data were collected on numbers of patients, routinely documented physiological observations and R-MEW score. Results Respiratory rate (RR) recording increased from 6.0% in the first survey to 77.9% in the last, which correlated with the incremental implementation of the R-MEWS system. Hospital A that had the CCO service showed a greater increase in RR recording than Hospital B with no CCO service. Conclusion The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>17420083</pmid><doi>10.1016/j.resuscitation.2007.01.035</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical death. Palliative care. Organ gift and preservation Critical Care - statistics & numerical data Critical care outreach Early warning score Emergency Emergency and intensive respiratory care Forms and Records Control Heart Arrest - diagnosis Heart Arrest - epidemiology Heart Arrest - prevention & control Humans Inpatient Inpatients Intensive care medicine Medical Records Medical sciences Monitoring, Physiologic - methods Monitoring, Physiologic - statistics & numerical data Patients' Rooms Prevalence Respiratory Mechanics - physiology Respiratory rate Severity of Illness Index United Kingdom - epidemiology |
| title | The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards |
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