Modified Early Warning System: Quality Improvement with the Help of Healthcare Failure Modes and Effect Analysis

Abstract

Introduction: Hospitals struggle to implement MEWS. This study aims to improve MEWS implementation in the studied hospital.

Objective: Improve the implementation of MEWS with the help of HFMEA.

Materials: HFMEA together with training is used to improve the implementation.

Results: The pre-intervention RPN got reduced from 1558 to 516 in the post-implementation phase.

Application: This demonstrates improvement in the implementation of MEWS with the help of HFMEA, this study design can be widely used.

Conclusion: The HFMEA is an effective tool to use for the improvement of MEWS implementation by the hospital nurses.

Keywords:

• Modified early warning system (MEWS)
• healthcare failure mode and effect analysis (HFMEA)
• risk priority number (RPN)