The Modified Early Warning System (MEWS) is a scoring rubric used to detect the earliest signs of a change in a patient's condition. This mixed-methods study used pre- and postintervention data to describe the impact of the MEWS on the frequency of rapid response system activations and cardiopulmonary arrests among patients admitted to medical-surgical units. Focus groups of nursing staff provided insight into the factors that influence how nurses use the MEWS at the bedside as a framework to identify, intervene, and manage patients in need of an advanced level of care.
Wilkes University School of Nursing, Wilkes-Barre, Pennsylvania (Dr Stewart); Duke University School of Nursing, Durham, North Carolina (Drs Carman and Sabol); and Geisinger Medical Center, Danville, Pennsylvania (Dr Spegman).
Correspondence: Jacqueline Stewart, DNP, RN, CEN, CCRN, FAEN, Wilkes University School of Nursing, 84 W South St, Wilkes Barre, PA 18766 (email@example.com).
The authors have no conflicts of interest to report.
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Accepted for publication: December 15, 2013
Published ahead of print: January 16, 2014