Early Warning System for Clinical Deterioration on General Hospital Wards.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20,031
- 试验地点
- 2
- 主要终点
- Transfer to ICU or Unexpected Death Within 24 Hrs of Identification by the EWS Algorithm
研究概览
简要总结
The goal is to develop a two-tiered monitoring system to improve the care of patients at risk for clinical deterioration on general hospital wards (GHWs) at Barnes-Jewish Hospital (BJH). The investigators hypothesize that the use of an automated early warning system (EWS) that identifies patients at risk of clinical deterioration, with notification of nurses on the GHWs when patients are identified, will reduce the risk of ICU transfer or death within 24 hrs of an alert. As a substudy, the investigators will pilot the use of a wireless pulse oximeter to establish feasibility and to develop algorithms for a real-time event detection system (RDS) in these high-risk patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients age 18 and above, hospitalized in GHWs at Barnes Jewish Hospital.
排除标准
- •Minors, patients younger than 18 years old.
研究组 & 干预措施
Control
Patients admitted to 4 GHWs designated as controls. Nurses will not be notified when patients on these GHWs satisfy the EWS algorithm. They will also not wear the wireless sensor devices.
Nurse notification of EWS alert
Patients admitted to 4 GHWs designated as intervention wards at BJH. Nurses will be notified when patients on these wards satisfy the EWS algorithm. Some patients will be asked to wear the wireless remote sensors.
干预措施: EWS Nursing Alerts (Behavioral)
Nurse notification of EWS alert
Patients admitted to 4 GHWs designated as intervention wards at BJH. Nurses will be notified when patients on these wards satisfy the EWS algorithm. Some patients will be asked to wear the wireless remote sensors.
干预措施: Wireless Remote Sensor (Device)
结局指标
主要结局
Transfer to ICU or Unexpected Death Within 24 Hrs of Identification by the EWS Algorithm
时间窗: Within 24 hrs of an EWS alert
The proportion of patients transferred to ICU or death within 24 hrs of identification by the EWS algorithm for intervention and control wards.
次要结局
- Clinical Outcomes and Process Measures(Hospital discharge)