Graded Response Strategy of NICE for Acutely Ill Hospitalized Patient

Purpose: To employ a graded response strategy for a hospitalized patient based on clinical status and results of the local early warning score (EWS).

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Evaluation

Are you evaluating a patient in the hospital?

Yes

Patient assessment

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

The graded response is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Basic Metabolic Profile (BMP) Risk Score (Intermountain Risk Score)
Other Testing
Criteria For Diagnosis
- Pediatric Advanced Warning System (PAWS)
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer

Therapy

Options
- Patient-At-Risk Early Warning Score
Selection
Failure Handling And Therapy Escalation
- Patient-At-Risk Early Warning Score
Prevention

Monitoring

Response To Therapy
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Adverse Effects
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Disease Progression
Complication Detection
- Modified Early Warning Score for a Hospital Inpatient
- Neonatal Trigger Score (NTS)

Societal Concerns

Economic Cost
- Ambulatory Severity Index (ASI)
- Patient Severity Index (PSI)
Public Health

Objective

severity
prognosis
stage
differential diagnosis and mimics
red flags
failure handling
when to refer

ICD-10

Info

Purpose: To employ a graded response strategy for a hospitalized patient based on clinical status and results of the local early warning score (EWS).

Objective: severity, prognosis, stage, differential diagnosis and mimics, red flags, failure handling, when to refer

ICD-10: ,

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