EFEKTIFITAS PEMANTAUAN PEDIATRIC EARLY WARNING SCORING/SYSTEM DALAM ELECTRONIC HEALTH RECORD
Keywords:
Anak-anak, electronic health record, pediatric early warning scoreAbstract
Pediatric Early Warning System atau Score (PEWS) merupakan instrumen untuk mengidentifikasi perburukan kondisi beberapa jam sebelum terjadi melalui tanda-tanda klinis dengan pengukuran skor. Instrumen ini dapat digunakan dalam Electronic Health Record (EHR), sehingga pengukuran menjadi lebih akurat. Penelitian ini bertujuan untuk mengetahui efektifitas pemantauan PEWS dalam EHR. Penelitian ini menggunakan studi literatur dengan penelusuran database online tahun 2016-2021. Kriteria inklusinya adalah full text dan fokus pada anak. Pemilihan sampel pada artikel adalah pemantauan PEWS dalam EHR. Data di review dengan Critical Appraisal Skills Programme tools hingga disimpulkan. Diperoleh 3 studi yang memenuhi kriteria inklusi. Hasil review menunjukan akurasi dasar mean adalah 71% dan akurasi penerapan kalkulator PEWS sebesar 100%. Waktu untuk membuat grafik adalah 20 menit, sebelumnya 55 menit dan jangkauannya juga berkurang 37% menjadi 27 menit. Adanya pemantauan PEWS menggunakan EHR, lebih akurat dan terhindar dari kesalahan, dibandingkan dengan PEWS manual.
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Pediatric early warning system or score (PEWS) is an instrument to identify the deteriorating clinical conditions by comparing clinical manifestations’ evaluation to the scoring system. Implementing PEWS in the electronic health record (EHR) system is a way to increase the accuracy of patients’ management in hospitals. This study aimed to evaluate the effectiveness of PEWS monitoring in EHR. This study uses a literature review was conducted in 2021 to review online databases from 2016-2021. All full-text research in children was included to review PEWS monitoring in the electronic medical record system. Data was reviewed with Critical Appraisal Skills Programme (CASP) tools. The results showed three studies are included to show better accuracy of PEWS calculator implementation of 100 percent compared to 71 percent accuracy of manual PEWS. There is decreasing in the median time of graphic plotting from 55 minutes to 20 minutes after intervention. PEWS calculator system also shows better range than manual system. Monitoring of PEWS from electronic medical record systems shows better accuracy and decreases human error than manual PEWS.
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