The effect of modified early warning scores on nosocomial emergency transshipment in primary hospital

Abstract

Objective To investigate the effect of modified early warning scores (MEWS) on nosocomial emergency transshipment in primary hospital. Methods From July 2013 to February 2014, 192 patients were selected as control group, and from March 2014 to October 2014, 192 patients were selected as observation group.The control group conducted assessment and transshipment by experience.The observation group adopted MEWS to evaluate disease and applied targeted treatment.Then, we compared the incidence of unsafe events, accuracy of handover, family member and the related departments' satisfaction. Results After the implementation of MEWS, the incidence of unsafe events was decreased from 13.0% to 5.2%(χ2=5.121). The accuracy of handover was increased from 85.4% to 94.3%(χ2=8.248). The family member and related departments' satisfaction were improved from 89.1%, 87.5% to 97.4% and 96.4%, respectively (χ2=15.561, χ2=10.141). The differences were statistically significant (P<0.05). Conclusion MEWS can evaluate and classify the safety of patients objectively and effectively during nosocomial emergency transshipment.MWES can effectively reduce the incidence of unsafe events, increase the accuracy of handover, improve family member and related departments' satisfaction. Key words: Modified early warning scores; Primary hospital; Nosocomial emergency transshipment