Validating the National Early Warning Score(NEWS) in Emergency Department of a tertiary care hospital in Pakistan.

Khan, Abdus Salam; Sattar, Abdul; Ghauri, Sanniya Khan; Hasnain, Huma; Khan, Hamza Mustafa

doi:10.5455/sajem.020212

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“…Although NEWS2 has been effectively used in the neighbouring countries, for example, India, 22 Pakistan 23 and Sri Lanka, 24 it was not in use in Bangladeshi hospital settings before this QIP. The inference can be expected to encourage its use in this and other developing country.…”

Section: Discussionmentioning

confidence: 99%

Preventing unrecognized deterioration & improving outcomes of critically ill patients using the National Early Warning Score 2 in a high dependency unit in Bangladesh: A quality improvement project

et al. 2023

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This Quality Improvement Project (QIP) aimed to assess the acceptability and utility of the National Early Warning Score 2 (NEWS2) in a Bangladeshi level-2 care setting. All nurses and physicians were trained on NEWS2 scores and a proper response before starting the QIP. Utilization of NEWS2 and patient outcome were documented and analyzed. Acceptability was acknowledged by increase in utilization, and utility by reduction in unrecognized deterioration of patients. The modified NEWS2 was well adopted and utilized by the nursing staff. There was a statistically significant reduction in unrecognized deterioration leading to cardiac arrest and the need for transfer to the Intensive Care Unit after implementation of NEWS2. With adequate training, motivation and appropriate modification, NEWS2 can become a well-accepted, widely adopted and realistic bedside monitoring tool in resource-limited settings like Bangladesh.

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Section: Discussionmentioning

confidence: 99%