NCT01280942

Early Warning System for Clinical Deterioration on General Hospital Wards

Early Warning System for Clinical Deterioration on General Hospital Wards.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 20,031 (actual)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal is to develop a two-tiered monitoring system to improve the care of patients at risk for clinical deterioration on general hospital wards (GHWs) at Barnes-Jewish Hospital (BJH). The investigators hypothesize that the use of an automated early warning system (EWS) that identifies patients at risk of clinical deterioration, with notification of nurses on the GHWs when patients are identified, will reduce the risk of ICU transfer or death within 24 hrs of an alert. As a substudy, the investigators will pilot the use of a wireless pulse oximeter to establish feasibility and to develop algorithms for a real-time event detection system (RDS) in these high-risk patients.

Conditions

• Escalation of Care
• Cardiopulmonary Arrest
• Respiratory Arrest
• Severe Sepsis
• Septic Shock

Interventions

Type	Name	Description
BEHAVIORAL	EWS Nursing Alerts	An automated algorithm (EWS) will identify patients at potential risk of clinical deterioration. When a patient satisfies the algorithm, a nurse on the patient's ward will be notified. S/he will assess the patient and institute any interventions that are clinically required.
DEVICE	Wireless Remote Sensor	A subset of patients will be consented to wear a wireless sensor device which will monitor heart rate and level of oxygen in the blood.

Timeline

• Start date: 2011-01-01
• Primary completion: 2012-05-01
• Completion: 2012-05-01
• First posted: 2011-01-21
• Last updated: 2018-02-14
• Results posted: 2018-02-14

Locations

1 site across 1 country: United States