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All Journal JHeS (Journal of Health Studies) Jurnal Keperawatan Profesional
Wahyudi, Purnomo
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Humanities Education Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Applying Early Warning Score (EWS) in hospitals for adult mortality risk factors Wahyudi, Purnomo; viky, Viky Noviani Hemu; Suprayogi; Setiyarini, Sri
JHeS (Journal of Health Studies) Vol. 7 No. 2 (2023): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3294

Abstract

The mortality rate among adult hospital patients is a significant indicator in assessing the quality of care and health services. High mortality rates can affect a hospital's reputation, reduce the credibility of medical personnel, and trigger public anxiety. Failure to recognize the worsening of a patient's condition can delay appropriate life support management. This scoping review aims to identify and analyze the Early Warning Score (EWS) application for adults with risk factors for death in regional general hospitals (RSUD). The scoping review was conducted by searching literature using electronic databases from January 2018-May 2023, such as PubMed, ScienceDirect, LibMed UGM, and hand searching. Relevant articles were selected based on inclusion criteria. The results contained two main themes: factors related to mortality in adult patients and the benefits of implementing EWS on the clinical outcomes of adult patients. Implementing EWS in adult patients with high-risk factors for mortality at Regional General Hospitals can help identify the worsening of the patient's condition early, reducing the risk of death. Increasing awareness of the importance of EWS, EWS training, and consistent use of EWS according to hospital protocols can help reduce mortality and improve overall patient clinical outcomes.
Implementation of Emergency Team Management Activation and Code Blue in Regional General Hospitals: Case Study Faizatiwahida, Novia; Irnu, Julfilkar Adnan; Rukhama, Rafi Achmad; Hemu, Viky Noviani; Suprayogi, Suprayogi; Alfrisa, Bagus; Wahyudi, Purnomo; Setyobudi, Hari; Triatmojo, Setyo; Setiyarini, Sri; Kusuma, Happy Indah
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.12330

Abstract

Regional general hospitals, as the first line of healthcare services, still face the challenge of high patient mortality and morbidity rates. Efforts to reduce these rates can be achieved through the implementation of the Team Medical Emergency (TME) and Code Blue systems as early detection mechanisms and rapid response to emergency situations. This study aims to determine the implementation of TME and Code Blue at Dr. Soedirman Regional General Hospital, Kebumen. The research method used a case study design with secondary data collected from May 2022 to February 2023. Data were analyzed to determine the distribution of TME and Code Blue activations based on case type, gender, and service unit. The results showed that TME and Code Blue activations were most common in patients with internal medicine cases, male patients, and in adult inpatient wards. These findings indicate that the implementation of the TME and Code Blue systems is significantly influenced by factors such as case type, patient characteristics, and treatment location. The general implications of this study are the need to optimize healthcare worker training, strengthen early detection systems, and continuously evaluate TME and Code Blue implementation to reduce mortality and morbidity in regional hospitals.
Co-Authors Alfrisa, Bagus Faizatiwahida, Novia Hemu, Viky Noviani Irnu, Julfilkar Adnan Kusuma, Happy Indah Rafi Achmad Rukhama Setyobudi, Hari SRI SETIYARINI, SRI suprayogi Suprayogi Suprayogi Triatmojo, Setyo viky, Viky Noviani Hemu