干旱区生态环境知识资源中心(Arid): Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project

Arid

DOI	10.3399/bjgp20X709349
	Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project
	Pullyblank, Anne; Tavare, Alison; Little, Hannah; Redfern, Emma; le Roux, Hein; Inada-Kim, Matthew; Cheema, Kate; Cook, Adam
通讯作者	Pullyblank, A
来源期刊	BRITISH JOURNAL OF GENERAL PRACTICE
ISSN	0960-1643
EISSN	1478-5242
出版年	2020
卷号	70 期号:695 页码:E381-E388
英文摘要	Background The National Early Warning Score (NEWS) was introduced to standardise early warning scores (DNS) in England. It has been recommended that NEWS should be used in pre-hospital care but there is no published evidence that this improves outcomes. In 2015, the West of England Academic Health Science Network region standardised to NEWS across all healthcare settings. Calculation of NEWS was recommended for acutely unwell patients at referral into secondary care. Aim To evaluate whether implementation of NEWS across a healthcare system affects outcomes, specifically addressing the effect on mortality in patients with suspicion of sepsis (SOS). Design and setting A quality improvement project undertaken across the West of England from Mardi 2015 to March 2019, with the aim of standardising to NEWS in secondary care arid introducing NEWS into community and primary care. Method Data from the national dashboard for SOS for the West of England were examined over time and compared to the rest of England. Quality improvement methodology and statistical process control charts were used to measure improvement. Results There was a reduction in mortality in the SOS cohort in the West of England, which was not seen in the rest of England over the time period of the project. Admissions did not increase. By March 2019, the West of England had the lowest mortality in the SOS cohort in England. Conclusion To the authors knowledge, this is the first study demonstrating that use of NEWS in pre-hospital care is associated with improved outcomes in patients with SOS.
英文关键词	mortality national early warning score prehospital care sepsis quality improvement patient safety
类型	Article
语种	英语
开放获取类型	Green Published, hybrid
收录类别	SCI-E
WOS记录号	WOS:000537804200002
WOS关键词	TRACK ; CARE ; EWS
WOS类目	Primary Health Care ; Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/324637
作者单位	[Pullyblank, Anne; Tavare, Alison; Little, Hannah; le Roux, Hein] West England Acad Hlth Sci Network, Marlborough St, Bristol BS1 3NX, Avon, England; [Redfern, Emma] West England Acad Hlth Sci Network, Patient Safety, Marlborough St, Bristol, Avon, England; [Inada-Kim, Matthew] Hampshire Hosp NHS Fdn Trust, Winchester, Hants, England; [Inada-Kim, Matthew] Wessex Patient Safety Collaborat, Sepsis & Deteriorat, Southampton, Hants, England; [Inada-Kim, Matthew] NHS England, Sepsis & Deteriorat, London, England; [Inada-Kim, Matthew] NHS Improvement, London, England; [Cheema, Kate] NHS South, Cent & West Commissioning Support Unit, Safety Measurement Unit, Consultancy & Solut, Horley, England; [Cook, Adam] NHS South, Cent & West Commissioning Support Unit, Safety Measurement Unit, Horley, England
推荐引用方式 GB/T 7714	Pullyblank, Anne,Tavare, Alison,Little, Hannah,et al. Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project[J],2020,70(695):E381-E388.
APA	Pullyblank, Anne.,Tavare, Alison.,Little, Hannah.,Redfern, Emma.,le Roux, Hein.,...&Cook, Adam.(2020).Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project.BRITISH JOURNAL OF GENERAL PRACTICE,70(695),E381-E388.
MLA	Pullyblank, Anne,et al."Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project".BRITISH JOURNAL OF GENERAL PRACTICE 70.695(2020):E381-E388.