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首页> 外文期刊>Nursing forum >Implementation of a MEWS‐Sepsis screening tool: Transformational outcomes of a nurse‐led evidence‐based practice project
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Implementation of a MEWS‐Sepsis screening tool: Transformational outcomes of a nurse‐led evidence‐based practice project

机译：MEWS-SEPSIS筛选工具的实施：护士带领的基于证据的实践项目的转型结果

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Abstract Background One in three patients who die in the hospital has sepsis. Alerting clinicians to early detection of high‐risk patients before deterioration is a top health care priority. Modified Early Warning Scoring (MEWS) tools have assisted organizations in identifying at‐risk patients at the first sign of subtle deterioration. Aim and setting In conjunction with an academic‐clinical partner, we evaluated, revised and implemented a modified MEWS‐Sepsis screening tool in an acute care facility. Participants One hundred and thirty‐nine direct‐care nurses participated in tool evaluation. Methods Using a plan‐do‐study‐act cycle of quality improvement, critical care scenarios from septic patient data were created and tested in a simulated setting. Results Upon implementation of the MEWS‐Sepsis tool, the monthly risk‐adjusted sepsis mortality rate immediately declined by 24%. The decline in mortality has been sustained from implementation to the present, spanning a 5‐year period. Conclusions The implementation of a MEWS‐Sepsis screening tool contributed to early identification and implementation of time‐sensitive interventions aimed at preventing sepsis‐associated deaths. MEWS‐Sepsis tools hold potential for scale‐up and spreading out of evidence‐based practice nursing innovations to transform care, improve patient outcomes, and save lives.
机译：抽象背景在医院死亡的三名患者中有脓毒症。在恶化前提醒临床医生以早期检测高危患者是最高的保健优先。修改后的预警评分（MEWS）工具有助于识别危险的组织在微妙恶化的第一个迹象中识别风险患者。我们与学术诊所合作伙伴的宗旨和设定，我们在急性护理设施中进行了评估，修订和实施了修改的MEWS-SEPSIS筛选工具。参与者参加了一百三十九九的直接护士参加了工具评估。使用计划实验 - 致动循环质量改进的方法，在模拟设置中创建并测试了来自脓肠柄患者数据的关键护理情景。结果实施MEWS-SEPSIS工具，每月风险调整后的败血症死亡率立即下降24％。死亡率的下降已达到目前的实施，跨越5年。结论MEWS-SEPSIS筛查工具的实施有助于早期识别和实施旨在预防脓毒症相关死亡的时间敏感干预措施。 MEWS-SEPSIS工具持有扩大扩大和扩展的潜力，从基于证据的实践护理创新转变，以改善患者结果，挽救生命。

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