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Individual Early Warning Score (I-EWS)

NCT03690128 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 150000

Last updated 2019-11-04

No results posted yet for this study

Summary

Early Warning Score (EWS) is a clinical scoring system used in hospitals in Denmark and internationally to systematically observe admitted patients using a standardised response algorithm. Consisting of a score based on the patients' vital signs, it only leaves limited space for individual assessment. Patient safety but also resource utilisation is a key issue in health systems today. We have developed a new individual EWS system (I-EWS) that reintroduces the individual clinical assessment for a more personalised observation. Our hypothesis is that I-EWS will not increase the mortality among hospitalised patients compared to EWS but will improve workflow by reducing unnecessary observations and freeing staff resources, potentially leading to improved patient care. The impact of I-EWS on mortality, the occurrence of critical illness, and usage of staff resources will be evaluated in a prospective, cluster randomised, non-inferiority study conducted at eight hospitals in Denmark.

Conditions

  • Early Warning Score
  • Risk Stratification

Interventions

BEHAVIORAL

I-EWS with incorporated clinical assessment (Trigger Tool)

In relation to systematic measurement of vital parameters the nursing staff will perform an individual clinical assessment of the patient and adjust the I-EWS score accordingly.

BEHAVIORAL

Standard EWS - Control (Trigger Tool)

Standard EWS - Based on principles of National Early Warning Score (NEWS)

Sponsors & Collaborators

  • Herlev Hospital

    lead OTHER

Principal Investigators

  • Kasper Iversen, MD, DMSci · Department of Cardiology, Herlev Hospital

Study Design

Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2018-10-01
Primary Completion
2019-10-31
Completion
2019-10-31

Countries

  • Denmark

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03690128 on ClinicalTrials.gov