DescriptionPurpose of the Project: This retrospective program evaluation aimed to evaluate a new sepsis protocol that used the National Early Warning Signs (NEWS) Score to detect sepsis sooner. A chart review was used to abstract data to evaluate the effectiveness of the new protocol .
Methodology: Through a chart review and staff survey, a retrospective program evaluation was conducted to quantitatively measure patient data and program effectiveness. 60 patients from a 6-month preintervention and 60 patients from a 6-month postintervention were used to trend the data. Statistical analysis and descriptive statistics were conducted with the patient data and staff survey results to better understand the effectiveness of a newly implemented protocol.
Results: Two relationships were tested through the patient data. The mean NEWS score of 60 patients from the postintervention sample measured against the ICU patient population in the sample was 5.03. The mean score for the medical-surgical patient population was 2.24, (t(48)) = 3.26, p = .001. A Spearman’s Rho single tailed correlation was conducted to test the association between the NEWS score and patients’ disposition which found r (58) = .38, p = .001. Two statistically significant results were observed through this program evaluation.
Implications for Practice: Implementing a tool like the NEWS may benefit earlier detection of sepsis and escalate patients to a higher level of care before health status deteriorates. Patients who scored higher on the NEWS score were more likely to have an ICU admission and were more likely to have complex needs addressed and decreased health status at the time of their discharge.