Abstract

Methods: Nurses assess and document patients CHEWS scores during routine vital signs. An escalation of care algorithm directs either: routine care (score 0-2), increased assessment/intervention (3-4), or ICU consult/transfer ($5). Sensitivity and specificity were estimated from a retrospective review of patients admitted to our inpatient units over 12 months who experienced arrest or unplanned ICU transfer (n=360) and a randomized comparison sample (n=776) of admissions. All patients in non-ICU or critical care areas that experienced an unplanned arrest or ICU transfer were included, patients at end of life with anticipated death were excluded from the case sample. All patients admitted to non-ICU or critical care were considered for inclusion for comparison control sample.

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