Worthing Physiological Scoring System (PSS) of Duckitt et al as a Medical Inpatient Early Warning System

Purpose: To identify a medical inpatient who is at increased risk for mortality using the Worthing physiologic scoring system (PSS) of Duckitt et al.

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Evaluation

Are you evaluating a medical inpatient?

Yes

Ventilatory rate

breaths per minute

Body temperature

Systolic blood pressure

mm Hg

Pulse (heart rate)

beats per minute

Oxygen saturation on room air

percent

Level of consciousness (AVPU)

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Is the patient at increased risk for inpatient mortality?

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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
- Modified Early Warning Score for a Hospital Inpatient
- Neonatal Trigger Score (NTS)
Criteria For Diagnosis
- Pediatric Advanced Warning System (PAWS)
Severity, Prognosis, Stage
Complications
- Modified Early Warning Score for a Hospital Inpatient
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
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

clinical diagnosis
including family history for genetics
other testing
severity
prognosis
stage
complications
selection

ICD-10

I46 - Cardiac arrest

Info

Purpose: To identify a medical inpatient who is at increased risk for mortality using the Worthing physiologic scoring system (PSS) of Duckitt et al.

Objective: clinical diagnosis, including family history for genetics, other testing, severity, prognosis, stage, complications, selection

ICD-10: I46,

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