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首页> 外文期刊>Resuscitation. >The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards.
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The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards.

机译：重症监护外展服务和预警评分系统对普通病房呼吸频率记录的影响。

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摘要

AIM: To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. METHOD: Five annual point prevalence surveys of all adult, non-obstetric acute inpatients (n=2638) in two Hospitals (A and B) were carried out between 2001 and 2005. The R-MEWS system was implemented incrementally in both hospitals to include all study group patients, but a CCO service was only available in Hospital A. Data were collected on numbers of patients, routinely documented physiological observations and R-MEW score. RESULTS: Respiratory rate (RR) recording increased from 6.0% in the first survey to 77.9% in the last, which correlated with the incremental implementation of the R-MEWS system. Hospital A that had the CCO service showed a greater increase in RR recording than Hospital B with no CCO service. CONCLUSION: The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service.
机译：目的：确定采用经阅读修改的预警评分（R-MEWS）系统是否与增加住院患者的呼吸频率（RR）记录有关，以及是否存在重症监护（CCO）服务对患者生命体征的记录有进一步的影响。方法：在2001年至2005年之间，对两家医院（A和B）的所有成人，非产科急性住院患者（n = 2638）进行了五次年度点流行度调查。两家医院均逐步采用R-MEWS系统，包括所有研究组患者，但仅在医院A有CCO服务。收集患者人数，常规记录的生理观察结果和R-MEW得分的数据。结果：呼吸频率（RR）记录从第一次调查的6.0％增加到最后一次调查的77.9％，这与R-MEWS系统的逐步实施有关。与没有CCO服务的医院B相比，具有CCO服务的医院A的RR记录增长幅度更大。结论：早期预警评分（EWS）的引入与呼吸频率记录的改善有关，而CCO服务的存在可能会进一步增强呼吸频率记录。

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