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An early warning score (EWS) system for recognition of clinical deterioration: RCT in two hospitals

Testing the effectiveness of a modified early warning score (MEWS) vital signs observations chart and SBAR tool for nurses¿ recognition and reporting of clinical deterioration in patients in adult wards: a multi-site cluster RCT

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR201406000838118
Enrollment
612
Registered
2014-06-02
Start date
2014-07-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Standard vital signs monitoring versus intervention type monitoring

Interventions

Sponsors

UCT Faculty of Health Sciences Clinical Trials Unit
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Training programme: a) All nurses in full-time employment in the 3 intervention wards including those on night duty Record review: b) Patient records for retrospective record review on discharge will include all patients 18 years of age and older who were admitted to the 3 intervention wards and the 3 control wards during the period of study.

Exclusion criteria

Exclusion criteria: Patients who are Not for Resuscitation, those who are transferred out of the ward to another department and those whose clinical records are unavailable Incomplete records (not including a vital signs chart and the Nursing Record/Progress Notes or, in the intervention wards, the MEWS chart and SBAR where appropriate) and missing records will be counted but excluded for analysis as these reduce availability for sampling.

Design outcomes

Primary

MeasureTime frame
Nurses reporting behaviour, that is, proportion of responses to early signs of clinical and physiological deterioration judged as appropriate, assessed by investigators using MEWS criteria (reference) from documentation in patients records.

Countries

South Africa

Contacts

Public ContactDelva Shamley

Deputy Director, Clinical Research Centre

delva.shamley@uct.ac.za0743775287

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026