Impact of the coronavirus pandemic on the patterns of vital signs recording and staff compliance with expected monitoring schedules on general wards.

Resuscitation
Ina KostakisPortsmouth Academic ConsortIum For Investigating COVID-19 (PACIFIC-19)

Abstract

Coronavirus disease 2019 (COVID-19) placed increased burdens on National Health Service hospitals and necessitated significant adjustments to their structures and processes. This research investigated if and how these changes affected the patterns of vital sign recording and staff compliance with expected monitoring schedules on general wards. We compared the pattern of vital signs and early warning score (EWS) data collected from admissions to a single hospital during the initial phase of the COVID-19 pandemic with those in three control periods from 2018, 2019 and 2020. Main outcome measures were weekly and monthly hospital admissions; daily and hourly patterns of recorded vital signs and EWS values; time to next observation and; proportions of 'on time', 'late' and 'missed' vital signs observations sets. There were large falls in admissions at the beginning of the COVID-19 era. Admissions were older, more unwell on admission and throughout their stay, more often required supplementary oxygen, spent longer in hospital and had a higher in-hospital mortality compared to one or more of the control periods. More daily observation sets were performed during the COVID-19 era than in the control periods. However, there was no clear ...Continue Reading

References

Oct 27, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kimberly D JohnsonVicken Totten
Feb 27, 2014·Journal of Nursing Care Quality·Anne WatsonAmanda Levin
Sep 23, 2014·Resuscitation·John Asger PetersenLars S Rasmussen
May 16, 2020·BMC Health Services Research·Kristiana LudlowJeffrey Braithwaite
May 21, 2020·International Journal of Environmental Research and Public Health·Fiorella Pia Salvatore, Simone Fanelli

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