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To evaluate the effect of automated recording on frequency of recorded scores, number of automated notifications and serious events.
The frequency of EWS scores, number of automated notifications and serious events performed on a general ward is contingent on the quality and frequency of vital signs measurement like respiratory rate. This is due to the EWS escalation schemes of hospitals with an acute intervention team. Obtained sub-score trigger levels of vital signs contribute to higher and more frequent scoring.
We examine the influence of different respiration rate sensor concepts and measurements on scoring (NEWS and CREWS) and workflow in a typical UK gastroenterology and respiratory ward.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Manual Respiration Rate Measurement | Patients with manually measured respiratory rate | ||
| Automatic Respiration Rate Measurement | Patients with automatically measured respiratory rate |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Automatic RR Measurement | Device | Different newly developed respiration rate sensors are applied at the bedside during the intervention phase which send data to the IntelliVue Guardian System. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of NEWS Scores | 8-12 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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The investigators plan to observe a non-probability, convenience sample of patients which will consist primarily of acutely ill hospitalized adult patients (at least 18 years of age). Study participants will be recruited from all eligible patients during the enrollment period who are having vital signs monitoring performed as Standard of Care.
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| Name | Affiliation | Role |
|---|---|---|
| Christian P Subbe, MD | Ysbyty Gwynedd Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ysbyty Gwynedd Hospital | Bangor | United Kingdom |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D051437 | Renal Insufficiency |
| D012131 | Respiratory Insufficiency |
| D009203 | Myocardial Infarction |
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D017202 | Myocardial Ischemia |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |