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Evaluation of the Effect of the Modified Early Warning System on the Nurse-Led Activation of the Rapid Response System

Stewart, Jacqueline DNP, RN, CEN, CCRN, FAEN; Carman, Margaret DNP, MSN, RN, CEN, ACNP; Spegman, Adele PhD, RN; Sabol, Valerie K. PhD, ACNP-BC, GNP-BC

doi: 10.1097/NCQ.0000000000000048
Articles

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 (jacqueline.stewart@wilkes.edu).

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

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