Opinion EDITORIAL Neil A. Halpern, MD, MCCM Physicians and other health care practitioners have been They compared the outcomes at 10 BedsidePEWS hospitals hopeful that computerized early warning systems (using vs usual care at 11 control hospitals. The study targeted pedi- data elements gleaned from the hospital’s electronic med- atric inpatients treated in pediatric wards (excluding ICUs or high-intensity units) and included infants (aged >37 gesta- ical record, bedside vital signs, or both, in conjunc- tional weeks) to adolescents (aged ≤18 years). Related article page 1002 tion with enhanced educa- After analyzing 144 539 hospital discharges repre- tion, monitoring, and re- senting 559 443 patient-days, the authors found that the sponse) would aid in identifying patients at risk of clinical BedsidePEWS intervention did not significantly decrease deterioration prior to bedside recognition by clinicians. all-cause hospital mortality (1.93 deaths per 1000 hospital The ultimate goal for early warning systems is a rapid discharges at BedsidePEWS hospitals vs 1.56 deaths per clinical response to the patient’s newly identified needs 1000 hospital discharges at usual care hospitals; adjusted with demonstrable improvements in both the processes between-group rate difference, 0.01 [95% CI, −0.80 to 0.81] of care and patient outcomes. An early warning
JAMA – American Medical Association
Published: Mar 13, 2018
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