Effects of Surveillance an Early Warning Signs on Deteriorating and Safety Patient in Pathumrat Hospital

Abstract

Purposes : To compare the outcomes of signal monitoring during a crisis situation concerning incidents of deterioration and safety (MEWS Score 0-2 points) in high-risk patients.

Study design : A quasi-experimental design

Materials and Methods : The sample group consisting of high-risk patients admitted to inpatient ward at Pathumrat Hospital, selected based on criteria such as having comorbidities like DM, HT, CKD and identified as end-of-life patients by physicians. The sample group, from January to June 2023, comprises 90 of individuals specifically chosen for data collection. Data were gathered through 1) recording vital sign alert events and significant changes, 2) collecting and recording scores from the alert signal system, and 3) documenting instances of patient deterioration in high-risk patients at Pathumrat Hospital. Statistical analysis employed descriptive statistics, frequency distribution, percentages, means, and standard deviations to compare the incidence of deterioration and safety (MEWS Score 0-2 points) before and after signal monitoring implementation.

Main findings : The study revealed that 1) female patients outnumbered males with an mean age of 64.34 years; the top two prevalent conditions during illness were Pneumonia and Hyperglycemia at 16.67% and the most common comorbidity was DM at 32.22%, and 2) the majority of patients had scores between 0-2 points (74.44%), while only 4.44% scored higher than 6 points.

Conclusion and recommendations : Studies with a broader age range (Above 15 years and 1 month to 15 years) and expanding the assessment tool's application to different age groups for research purposes.