| Abstract [eng] |
Background: Despite the wider use of early warning scores in clinical settings, discussions on low-threshold implementation strategies and emerging studies on outcomes, the topic remains controversial. To date, this field has received little attention compared to other high-risk cardiovascular conditions in a hospital setting. Objective: The aim of this research is to review the use of early warning scores with regard to the factors affecting implementation and outcomes, as well as their correlation. Methods: A narrative review, based on recent evidence found in the PubMed database with a scope on clinical data from 2012 – 2022. Results: Ward patient profit from the use of early warning scores, if implemented correctly and medical staff adheres to the protocol and initiate the proper track and trigger response. Novel innovations could remedy the problem of compliance and protocol adherence without affecting patient comfort. The use of technological support would also reduce the workload of healthcare workers significantly and provide more resources for other neglected tasks. The sticking point might be the role shift of the healthcare provider from performing routine tasks to becoming the backbone of a standardized decision – making und communication process. Conclusion: The implementation and acceptance of Early Warning Scores has a significant impact on every measurable outcome parameter. A key role in the near future plays the multi – parameter continuous, non – invasive monitoring with wearable devices that report in real – time to the electronic medical record which calculates a risk score and supports medical staff in their decision – making process. |
