The Prevention of Failure to Rescue Using Early Warning Scoring

Study Overview
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Brief Summary
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The purpose of this study is to assess if, compared with standard paper-based systems, an automated Early Warning System (EWS) resident in a spot check patient monitor, can help to identify deteriorating patients.

Detailed Description
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The purpose of this study is to assess if, compared with standard paper-based systems, an automated Early Warning System (EWS) resident in a spot check patient monitor, can help to identify patients in the acute care settings but outside of the intensive care unit, who may be experiencing physiological instability and who are in need of rapid clinical intervention by a Rapid Response Team (RRT)/ Medical Emergency Team (MET). The development of such an automated system by offers a unique opportunity to assess its user-friendliness, labour-saving effect, feasibility and clinical utility. Accordingly, we plan to conduct a research program aimed at assessing this new approach toward patient monitoring. This study will use the hospital's Standard of Care protocol for the monitoring of vital signs (including timing and vital signs collected) and a commercially available automatic spot check monitor to collect data. No investigational procedures or devices are associated with this protocol.

Official Title
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The Use of IntelliVue Patient Monitor MP5 Rel. G.1 for the Prevention of Failure to Rescue Using Early Warning Score

Conditions
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Sepsis, Renal Failure, Pulmonary Edema, Cardio-pulmonary Arrest

Intervention / Treatment
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* Device: use of the MP5 EWS patient monitor


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all patients admitted to the study units during the period of data collection Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group 1<br>Patients who triggered MET/RRT calls prior to the use of the MP5 EWS patient monitor. | Device: use of the MP5 EWS patient monitor<br>* All patients on the study ward receive the same care in Groups 1 and 2. The only difference is the device used to collect the vital signs. In Group 2, the MP5 EWS spot check monitor (FDA approved and CE marked) is the vital signs collection device.<br>|
| Group 2<br>Patients who triggered MET/RRT calls after the use of the MP5 EWS patient monitor. | Device: use of the MP5 EWS patient monitor<br>* All patients on the study ward receive the same care in Groups 1 and 2. The only difference is the device used to collect the vital signs. In Group 2, the MP5 EWS spot check monitor (FDA approved and CE marked) is the vital signs collection device.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Survival | Survival at the end of the RRT call (time when the RRT team left the patient, average duration of calls around 25 min) | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Respiration Rate Impact on RRT Calls | Proportion of calls secondary to abnormal respiratory vital signs. Respiration Rate is considered to be one of the main early indicators of deterioration. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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patient deterioration, unplanned ICU admissions, rapid response teams