Application of monitoring method based on modified early warning score combined with situation-background-assessment-recommendation pattern in cardiology department
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Application of monitoring method based on modified early warning score combined with situation-background-assessment-recommendation pattern in cardiology department
Journal of Chongqing Medical UniversityVol. 42, Issue 9, Pages: 1183-1187(2017)
Han Shuangshuang, Gan Yuxia, Mou Yuanfen. Application of monitoring method based on modified early warning score combined with situation-background-assessment-recommendation pattern in cardiology department. [J]. Journal of Chongqing Medical University 42(9):1183-1187(2017)
DOI:
Han Shuangshuang, Gan Yuxia, Mou Yuanfen. Application of monitoring method based on modified early warning score combined with situation-background-assessment-recommendation pattern in cardiology department. [J]. Journal of Chongqing Medical University 42(9):1183-1187(2017) DOI: 10.13406/j.cnki.cyxb.001205.
Application of monitoring method based on modified early warning score combined with situation-background-assessment-recommendation pattern in cardiology department
Objective:To explore the programmed monitoring method which can identify potential critical illness early in cardiology department
and to establish early warning work process and scientific
effective
standardized
unified health care communication template. Methods:Totally 210 patients hospitalized in cardiology of the 7th People’s Hospital of Shenzhen were selected from October 2014 to February 2016 and were randomly divided into two groups:observation group took programmed monitoring method based on modified early warning score(MEWS) combined with situation-background-assessment-recommendation(SBAR);control group took traditional monitoring program. Patients in two groups were observed for 14 days and the rate of accident event
transferring to ICU
satisfaction degree of two groups were observed. The correlation between MEWS and level of nursing before intervention on day 7 and day 14 was analyzed. Results:There was statistical significance in the rate of accident event(3.92% vs. 18.00% )
transferring to ICU(0.00% vs. 5.00% )
satisfaction of doctors and patients to nurses(99.02%
97.06% vs. 93.00%
90.00% )and nurses’ awareness of the patient’s ‘ten know’(91.18% vs. 77.00% )between observation group and control group(P <0.05);The MEWS value and the nursing level was positively correlated in the observation group
and correlation coefficient before intervention
on day 7 and day 14 were-0.683
-0.724 and-0.895(P <0.001)
with the implementation of the program
the correlation was higher. Conclusion:The application of programmed monitoring method based on MEWS combined with SBAR in cardiology department can identify potential critical illness in the early time
promote effective communication between doctors and nurses
reduce the occurrence of accident and ICU admission
improve the satisfaction rate of doctors and patients to nurses;and the value of MEWS can provide a reference for nursing level. Therefore
the establishment of the disease early warning process combined with scientific
effective
standardized
unified medical communication template has a good application value in cardiology department.
关键词
改良早期预警评分程序化监护标准化沟通模式心内科
Keywords
modified early warning scoreprogrammed monitoring methodssituation-background-assessment-recommendationcardiology department