Skip Navigation LinksHome > July/September 2014 - Volume 29 - Issue 3 > Inpatient Nursing Care and Early Warning Scores: A Workflow...
Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0000000000000058

Inpatient Nursing Care and Early Warning Scores: A Workflow Mismatch

Watson, Anne PhD, RN; Skipper, Chantel MSN, RN, CPNP-AC; Steury, Rachel MSN, RN, C-NP; Walsh, Heather MSN, RN, PCNS-BC; Levin, Amanda MD

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Early warning scores calculated by registered nurses (RNs) are used in hospitals to enhance the recognition of and communication about patient deterioration. This study evaluated workflow variables surrounding calculation and documentation of one pediatric hospital's use of an early warning score. Results indicated that there were significant delays in documentation of early warning scores by RNs and inconsistencies between the early warning scores and vital signs collected and documented by non-RN personnel. These findings reflected information obtained from the RNs about how they prioritize tasks and use work-arounds to specific systems issues regarding assessment and documentation in the electronic medical record.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


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