Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system

Aims and objectives: This study investigated clinical staff perceptions of learning about current monitoring practices and the planned introduction of an electronic system for patient monitoring. The aim of this research was to evaluate the perceptions of clinical staff (nurses and doctors) about th...

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Main Authors: Ehsan Ullah, Mirza Mansoor Baig, Hamid GholamHosseini, Jun Lu
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022024707
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author Ehsan Ullah
Mirza Mansoor Baig
Hamid GholamHosseini
Jun Lu
author_facet Ehsan Ullah
Mirza Mansoor Baig
Hamid GholamHosseini
Jun Lu
author_sort Ehsan Ullah
collection DOAJ
description Aims and objectives: This study investigated clinical staff perceptions of learning about current monitoring practices and the planned introduction of an electronic system for patient monitoring. The aim of this research was to evaluate the perceptions of clinical staff (nurses and doctors) about the perceived strengths and weaknesses of the current state of the rapid response system (RRS) and how those strengths and weakness would be affected by introducing an electronic RRS. Methods: This research applied a descriptive study methodology. Two detailed sessions on demonstration on the electronic RRS for measuring and recording vital signs and the electronic Early Warning System (EWS) were followed by two structured surveys administered through an online portal (SurveyMonkey) for nurses and doctors working at Taranaki District Health Board. The study was planned and conducted between October 2020 and May 2021 at Taranaki Base Hospital, New Plymouth, New Zealand. Results: We found that the perceptions of clinical staff were a combination of key practice issues with current manual monitoring, expectations of improved visibility of vital sign charts, better communication between staff and thus improved patient care with the introduction of an electronic system. A majority (24, 60%) of nurses reported that, when called to assess deteriorating patients, the responders arrive at bedside within 5–30 min and an additional 11 (27%) said the responders arrive within 5 min. That is a collective 87% responder arrival within 30 min Conclusion: Staff believe that an electronic RRS could improve communication, speed up decision making and have a positive impact on patient outcomes.
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spelling doaj.art-e9521ac75f574c338fe73f1952bd90ae2022-12-22T04:33:17ZengElsevierHeliyon2405-84402022-10-01810e11182Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response systemEhsan Ullah0Mirza Mansoor Baig1Hamid GholamHosseini2Jun Lu3School of Science, Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New ZealandData Science Team, Orion Health, Auckland, New ZealandSchool of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New ZealandSchool of Science, Faculty of Health and Environmental Sciences, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand; Institute of Biomedical Technology, Auckland University of Technology, New Zealand; Maurice Wilkins Centre for Molecular Discovery, Auckland 1010, New Zealand; College of Food Science and Technology, Nanchang University, Nanchang 330031, Jiangxi Province, China; College of Chemistry, Chemical Engineering and Resource Utilization, Northeast Forestry University, Harbin 150040, China; Corresponding author.Aims and objectives: This study investigated clinical staff perceptions of learning about current monitoring practices and the planned introduction of an electronic system for patient monitoring. The aim of this research was to evaluate the perceptions of clinical staff (nurses and doctors) about the perceived strengths and weaknesses of the current state of the rapid response system (RRS) and how those strengths and weakness would be affected by introducing an electronic RRS. Methods: This research applied a descriptive study methodology. Two detailed sessions on demonstration on the electronic RRS for measuring and recording vital signs and the electronic Early Warning System (EWS) were followed by two structured surveys administered through an online portal (SurveyMonkey) for nurses and doctors working at Taranaki District Health Board. The study was planned and conducted between October 2020 and May 2021 at Taranaki Base Hospital, New Plymouth, New Zealand. Results: We found that the perceptions of clinical staff were a combination of key practice issues with current manual monitoring, expectations of improved visibility of vital sign charts, better communication between staff and thus improved patient care with the introduction of an electronic system. A majority (24, 60%) of nurses reported that, when called to assess deteriorating patients, the responders arrive at bedside within 5–30 min and an additional 11 (27%) said the responders arrive within 5 min. That is a collective 87% responder arrival within 30 min Conclusion: Staff believe that an electronic RRS could improve communication, speed up decision making and have a positive impact on patient outcomes.http://www.sciencedirect.com/science/article/pii/S2405844022024707Staff perceptionsVital signs monitoringEarly warning scoreRapid response system
spellingShingle Ehsan Ullah
Mirza Mansoor Baig
Hamid GholamHosseini
Jun Lu
Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
Heliyon
Staff perceptions
Vital signs monitoring
Early warning score
Rapid response system
title Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
title_full Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
title_fullStr Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
title_full_unstemmed Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
title_short Vital signs and early warning score monitoring: perceptions of clinical staff about current practices and introducing an electronic rapid response system
title_sort vital signs and early warning score monitoring perceptions of clinical staff about current practices and introducing an electronic rapid response system
topic Staff perceptions
Vital signs monitoring
Early warning score
Rapid response system
url http://www.sciencedirect.com/science/article/pii/S2405844022024707
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