Scholarlink

Background <p>In hospitalised patients, clinical deterioration can be detected at an early stage using early warning scores (EWS), enabling timely interventions. However, it remains unclear to what extent EWS have been implemented within the network of the Initiative of Quality in Medicine (IQM), comprising 480 hospitals, and what facilitating and challenging factors have been reported in this context.</p> Methods <p>An online survey within the IQM was conducted to assess EWS-specific structures and processes, barriers, and facilitators. The degree of implementation was self-rated by participants on a&#xa0;numerical rating scale from 1&#xa0;to 10&#xa0;(10 = maximum).</p> Results <p>Of the 480 individuals contacted, 18.7% (<i>n</i> = 90) responded; 6.3% (<i>n</i> = 30) reported using EWS in clinical practice for an average of 4.3&#xa0;years. Among these, the National-EWS (NEWS) was most frequently used (37.9%, <i>n</i> = 11), primarily on general medical wards (66.7%,<i> n</i> = 20). Rapid response teams were mostly formed by resuscitation teams (33.3%, <i>n</i> = 10). Electronic systems were used for EWS recording in 82.2% (<i>n</i> = 24), and documentation was most often performed in response to clinical abnormalities (56.7%, <i>n</i> = 17). The self-rated median implementation score was 3.5. The top three facilitating factors included committed staff, clear communication and training strategies, and technological support; barriers identified were lack of staff acceptance, insufficient technical infrastructure, and time required for training.</p> Conclusion <p>The implementation of EWS within the IQM appears to be limited and might be a&#xa0;challenging and complex process. The low participation rate limits the informative value of this study.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Early Warning Scores: Implementierung, Herausforderungen und Lösungen im Netzwerk der Initiative Qualitätsmedizin

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月30日

查看全文
  • Peter Nydahl,
  • Marie-Madlen Jeitziner,
  • Susanne Krotsetis,
  • Koroush Kabir,
  • Jan-Peter Braun

摘要

Background

In hospitalised patients, clinical deterioration can be detected at an early stage using early warning scores (EWS), enabling timely interventions. However, it remains unclear to what extent EWS have been implemented within the network of the Initiative of Quality in Medicine (IQM), comprising 480 hospitals, and what facilitating and challenging factors have been reported in this context.

Methods

An online survey within the IQM was conducted to assess EWS-specific structures and processes, barriers, and facilitators. The degree of implementation was self-rated by participants on a numerical rating scale from 1 to 10 (10 = maximum).

Results

Of the 480 individuals contacted, 18.7% (n = 90) responded; 6.3% (n = 30) reported using EWS in clinical practice for an average of 4.3 years. Among these, the National-EWS (NEWS) was most frequently used (37.9%, n = 11), primarily on general medical wards (66.7%, n = 20). Rapid response teams were mostly formed by resuscitation teams (33.3%, n = 10). Electronic systems were used for EWS recording in 82.2% (n = 24), and documentation was most often performed in response to clinical abnormalities (56.7%, n = 17). The self-rated median implementation score was 3.5. The top three facilitating factors included committed staff, clear communication and training strategies, and technological support; barriers identified were lack of staff acceptance, insufficient technical infrastructure, and time required for training.

Conclusion

The implementation of EWS within the IQM appears to be limited and might be a challenging and complex process. The low participation rate limits the informative value of this study.