Developing a surveillance of Early Warning Signs in Inpatient Department, Phayeun Hospital, Khon Kaen

Abstract

Purposes: To develop guidelines for patient surveillance of early warning signs on Inpatient  Department, Phayeun Hospital, Khon Khean.  

Design: Action  research

Materials and Methods: Using system theory as a research framework, 12 of participants were patients admitted inpatient  wards of Phayeun Hospital, Khon Khean, from October - December 2019 and 12 of participants nurses working in the inpatient department.  The instruction were surveillance  of  early  warning signs in  inpatient  department,   performance evaluation form, and opinion questionnaire.  Descriptive statistics are presented.

 Main findings: The developed patient surveillance guidelines consist of 6 components which were respiratory rate, Percentage of oxygen in blood, Blood pressure while heart was squeezed Heart rate, Awareness level and body temperature. The experimental results showed that from number of patients evaluated according to patient surveillance guidelines, by early warning signs. 792 of cases;   0.37% of  found 3 Unplanned Refer incidents,  0.12% of  followed by 1 Unplanned Tube incidence, 0.12% of 1 Unplanned CPR incidence and 0.12% of there were 1 unplanned dead and professional nurses in the wards.  33.33 of most agreed that approach had able to detect early abnormalities, 25.00% of followed by decision-making after assessing level of response and support needed  agree at high level that decision-making guidelines after assessing the patient's response and support levels were easy to use, not complicated, 66.66% of  can be put into practice and guidelines to early detect abnormalities of patients, and 58.33% of satisfied with use of surveillance  guideline  NEWS.

Conclusion and recommendations:        This study suggests that nurses  in   Inpatient Department should use assessment guideline (NEWS) to prevent patients going into a critical condition and could help monitoring , report to physicians and provide treatment in time. This NEWS could effectively reduce complications and mortality rate.