PENERAPAN EARLY WARNING SCORE (EWS) SEBAGAI DETEKSI MORTALITY
DOI:
https://doi.org/10.58774/jourkep.v2i1.35Keywords:
Early Warning Score (EWS), Gross Death Rate (GDR), Mortality DetectionAbstract
EWS is based on an assessment of changes in the patient's condition through systematic observation of all the patient's physiological changes so as to avoid unexpected events in the emergency room or the Intensive Care Unit room. Patient deterioration can occur when the evaluation and implementation of EWS are not in accordance with the algorithm. This study aims to determine the results of EWS implementation as mortality detection. This type of research is quantitative with a quasy experimental method with a pretest-posttest design with a control group. The sample used in this study were inpatients in the adult room with a total of 275 people taken by accidental sampling technique. Respondents who had been given the intervention continued with measuring early death using the Gross Death Rate (GDR). Based on the results of research and analysis of statistical tests that have been carried out on the application of EWS, the results obtained are a p-value of 0.028 (p <0.05) so that it can be concluded that the application of EWS has an effect on patient GDR. As early death detection, the intervention group is lower than the control group. These results significantly reduced the GDR and ADR in the intervention group compared to the control group.
Downloads
References
Adila, I., W. W. A. Dewi, D. Tamitiadini, and W. R. Syauki. 2017. “Disaster Mitigation Action Plan: Digital Media on Improving Accountability and Community Relationships.” in IOP Conference Series: Earth and Environmental Science. Vol. 70. Institute of Physics Publishing.
An, Ying, Zi Rong Tian, Fei Li, Ya Mei Guan, Zi Feng Ma, Zhen Hui Lu, and Ai Ping Wang. 2021. “Risk Prediction Using the National Early Warning Score and the Worthing Physiological Scoring System in Patients Who Were Transported to the Intensive Care Unit from the Emergency Department: A Cohort Study.” Intensive and Critical Care Nursing 64. doi: 10.1016/j.iccn.2021.103015.
Fu, Li Heng, Jessica Schwartz, Amanda Moy, Chris Knaplund, Min Jeoung Kang, Kumiko O. Schnock, Jose P. Garcia, Haomiao Jia, Patricia C. Dykes, Kenrick Cato, David Albers, and Sarah Collins Rossetti. 2020. “Development and Validation of Early Warning Score System: A Systematic Literature Review.” Journal of Biomedical Informatics 105.
Jensen, Jørghild Karlotte, Randi Skår, and Bodil Tveit. 2018. “The Impact of Early Warning Score and Rapid Response Systems on Nurses’ Competence: An Integrative Literature Review and Synthesis.” Journal of Clinical Nursing 27(7–8).
Kartika, Sarah Lia. 2013. “Implementasi Early Warning System Berdasarkan Karakteristik, Tingkat Pengetahuan, Dan Motivasi Perawat.” Nursing Current 1(2).
Langkjaer, Caroline S., Dorthe G. Bove, Pernille B. Nielsen, Kasper K. Iversen, Morten H. Bestle, and Gitte Bunkenborg. 2021. “Nurses’ Experiences and Perceptions of Two Early Warning Score Systems to Identify Patient Deterioration—A Focus Group Study.” Nursing Open 8(4). doi: 10.1002/nop2.821.
NICE. 2020. “National Early Warning Score Systems That Alert to Deteriorating Adult Patients in Hospital.” Medtech Innovation Briefing 978-1–4731.
Pramana, Yoga, Ikbal Fradianto, Ali Maulana, and Suhaimi Fauzan. 2022. “Pengembangan Early Warning System Di Rumah Sakit Universitas Tanjungpura Kalimantan Barat.” Jurnal Penelitian Keperawatan 8(1):55–62.
Pullyblank, Anne, Alison Tavaré, Hannah Little, Emma Redfern, Hein le Roux, Matthew Inada-Kim, Kate Cheema, and Adam Cook. 2020. “Implementation of the National Early Warning Score in Patients with Suspicion of Sepsis: Evaluation of a System-Wide Quality Improvement Project.” British Journal of General Practice 70(695). doi: 10.3399/bjgp20X709349.
Smith, M. E. Beth, Joseph C. Chiovaro, Maya O’Neil, Devan Kansagara, Ana Quinones, Michele Freeman, Makalapua Motu’apuaka, and Christopher G. Slatore. 2014. Early Warning System Scores: A Systematic Review.
Subhan, Nurul, Gezy Weita Giwangkencana, M. Andy Prihartono, and Doddy Tavianto. 2019. “Implementasi Early Warning Score Pada Kejadian Henti Jantung Di Ruang Perawatan Rumah Sakit Dr. Hasan Sadikin Bandung Yang Ditangani Tim Code Blue Selama Tahun 2017.” Jurnal Anestesi Perioperatif 7(1):33–41. doi: 10.15851/jap.v7n1.1583.
Sudjiati, Endang, Rr Tutik Sri Hariyati, Mahasiswa Magister Keperawatan Kepemimpinan Dan Manajemen Pelayanan Keperawatan Universitas Indonesia, Kampus UI Fik, and Jl Bahder Djohan. 2019. “Efektifitas Penggunaan Teknologi Early Warning Scoring Sytem (EWSS) Dalam Keperawatan.” Jurnal Online Keperawatan Indonesia 2(2):34–39.
Ward, Marie E., Abel Wakai, Ronald McDowell, Fiona Boland, Eoin Coughlan, Moayed Hamza, John Browne, Ronan O’Sullivan, Una Geary, Fiona McDaid, Éidín Ní Shé, Frances J. Drummond, Conor Deasy, and Eilish McAuliffe. 2019. “Developing Outcome, Process and Balancing Measures for an Emergency Department Longitudinal Patient Monitoring System Using a Modified Delphi.” BMC Emergency Medicine 19(1). doi: 10.1186/s12873-018-0220-3.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Wardah Fauziah, Novian Mahayu Adiutama
This work is licensed under a Creative Commons Attribution 4.0 International License.
