Development and application of modified early warning score information system based on nursing ;electronic medical records
10.3760/cma.j.issn.1674-2907.2016.21.027
- VernacularTitle:以护理电子病历为基础的改良早期预警评分信息系统的开发与应用
- Author:
Lihui GU
1
;
Huaili LIU
;
Yuanyuan ZHOU
Author Information
1. 310009 杭州市第三人民医院护理部
- Keywords:
Nursing electronic medical records;
Modified early warning score;
Information system
- From:
Chinese Journal of Modern Nursing
2016;22(21):3061-3063,3064
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of modified early warning score ( MEWS ) information system based on nursing electronic medical records .Methods A total of 725 patients were chosen as the research objects, and were allocated to observation group (n=360) and control group(n=365) according to their hospitalized wards . Patients in control group received routine monitoring record and observation according to orders while patients in observation group had an extra MEWS information system grading and different levels of care and treatment scheme based on Early Warning Process .Level of patients care and corresponding MEWS score of observation group and incidence of accident , rescue success rate and mortality rate for patients of two groups were observed and compared .Results MEWS of critical care patients of observation group was the highest (6.81 ±2.19), while MEWS of tertiary care patients was the lowest (1.80 ±0.72). Accident rate in observation group was obviously lower than the control group , rescue success rate was higher than control group(P<0.05);mortality rate of two groups had no difference (P<0.05).Conclusions On the basis of nursing electronic medical records , development of MEWS information system could help clinical nurses assess elderly patients rapidly and accurately , identify potential critical care patients early , and improve patients safety management to ensure patients safety .