Compliance to Recording of Modified Early Warning Score (MEWS) Following Educational Intervention and its Effect on Sepsis Related Patient Outcomes
Abstract
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.
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.
How to Cite This Article
Hirani S, Mahmood SBZ, Qureshi IA, Jamil B, Arshad A. Compliance to Recording of Modified Early Warning Score (MEWS) Following Educational Intervention and its Effect on Sepsis Related Patient Outcomes. J Pak Soc Intern Med. 2021;2(1):68–71. doi:10.70302/jpsim.v2i1.2119
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
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