2011
DOI: 10.1111/j.1365-2834.2011.01246.x
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Monitoring vital signs using early warning scoring systems: a review of the literature

Abstract: Recording vital signs is not enough. Patient safety continues to depend on nurses' clinical judgment of deterioration. Resources are needed to validate and evaluate MEWS/EWS systems in context.

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Cited by 137 publications
(102 citation statements)
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References 88 publications
(212 reference statements)
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“…This was achieved by making the most of the numerical scoring classification. In doing so, the nurses were adhering to local policies; whilst on the other hand relinquishing their immediate responsibility to another healthcare professional, (Kyriacos 2011, Martin 2012, and Jackson & Penprase 2016 Remarkably, none of n=10 participants offered any explanation for the elevation of the physiological parameters. These parameters were essentially used as a landmark to connect the numerical score to the specific vital signs.…”
Section: Discussionmentioning
confidence: 99%
“…This was achieved by making the most of the numerical scoring classification. In doing so, the nurses were adhering to local policies; whilst on the other hand relinquishing their immediate responsibility to another healthcare professional, (Kyriacos 2011, Martin 2012, and Jackson & Penprase 2016 Remarkably, none of n=10 participants offered any explanation for the elevation of the physiological parameters. These parameters were essentially used as a landmark to connect the numerical score to the specific vital signs.…”
Section: Discussionmentioning
confidence: 99%
“…Despite considerable research into the validity and reliability of the early warning score, there is a need for more studies that consider issues relating to implementation, or how to make the NEWS successful in acute hospitals (Kyriacos et al 2011). The introduction of new systems into healthcare organisations is complex; Etherington (2014) argues that strategies to improve the implementation of early warning score systems need to take a 'whole-system' approach, ensuring that all professional groups take ownership for making the system work in their hospitals.…”
Section: Introductionmentioning
confidence: 99%
“…There are, however, very few clinical trials of early warning scores. 6 Adoption of NEWS with review of the effectiveness of this tool on a large scale can potentially provide assurance of the relevance of this tool in quality patient care. The support for the tool has been remarkable.…”
mentioning
confidence: 99%