Compliance to Recording of Modified Early Warning Score (MEWS)
Following Educational Intervention and its Effect on Sepsis Related
Patient Outcomes


  • Author- Sana Hirani, Saad Bin Zafar Mahmood, Imran Ahmed Qureshi, Bushra Jamil, Ainan Arshad


Sepsis is a major medical problem with increasing mortality globally. Some studies have compared sepsis to other time-sensitive critical care conditions. Track and trigger systems like MEWS have been developed to aid in detection of deterioration in these patients by allowing early recognition of critical illness. The primary objective of this study was to determine the effect an educational simulation workshop on MEWS documentation compliance and also to determine the effect it had on the overall outcomes of sepsis patients by comparing the code rate records pre- and post-workshop. Methods: Single arm retrospective study was done. All patients admitted with sepsis before and after the simulation workshop were included. Data was retrieved from medical records on MEWS documentation and code rates. Comparison was done between pre and post code rates to assess impact of workshop on documentation and subsequent action.


  Pre-workshop audit revealed that 184 patients were admitted with sepsis in 6 months out of which 52.2% (n=96) had proper documentation and 14.1% (n=26) underwent code events. Post-workshop 162 patients were admitted in 6 months, in which 76.5% (n=124) had proper documentation and 8.6% (n=14) underwent code events (p < 0.001).


  Simulation workshop resulted in improved compliance of MEWS documentation and led to decreased code rates. Workshops like these should be done on large scale and at predefined, regular intervals and should be included in undergraduate medical and nursing curricula.


MEWS, Track and Trigger System, Sepsis, Simulation Workshop