<![CDATA[Early Warning Score (EWS) detects early signs of physiological deterioration. Its implementation depends on healthcare workers’ compliance with patient identification, vital-sign measurement, score calculation and documentation, and appropriate responses. This descriptive observational study directly observed EWS implementation in the Emergency Department of Hj. Bunda Halimah Hospital, Batam. Purposive sampling yielded 36 EWS observations. Data were collected using a checklist based on hospital EWS standard operating procedures and analyzed descriptively using frequencies and percentages. Compliance reached 97.2% for identifying patients requiring EWS, 100% for complete vital-sign measurement, 97.2% for recording physiological parameters, 91.7% for calculating scores according to the standard table, 97.2% for score documentation, 94.4% for actions according to score triggers, and 94.4% for reassessment within 15–60 minutes for patients with high scores. Risk-level categorization based on EWS scores reached 100%. Overall, 30 healthcare workers (83.3%) were highly compliant, six (16.7%) were compliant, and none were less compliant. Healthcare workers’ compliance with EWS implementation was very good. Regular training, supervision, clinical audits, and evaluations remain necessary, particularly for score calculation and reassessment.]]>
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