Track and trigger system for use in community hospitals
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Track and trigger system for use in community hospitals

Joanne Wolfenden Sister, Llandrindod Wells Hospital, Llandrindod Wells Hospital
Ailsa Dunn Consultant physician age care, Bronllys Hospital, Brecon/Llandrindod Wells Hospital, Llandrindod Wells Hospital
Alison Holmes Senior sister, Llandrindod Wells Hospital
Cathy Davies Associate specialist in age care, Llandrindod Wells Hospital
Matron
John Buchan Associate specialist in age care, Llandrindod Wells Hospital

Aim To adapt and promote a relevant track and trigger system based on modified early warning systems (MEWS) for use in rural community hospitals in Powys, Wales.

Method Track and trigger systems, including MEWS, were reviewed, compared and developed by senior nursing and medical staff using PDSA (Plan Do Study Act) cycles.

Results A track and trigger system was developed, piloted and rolled out to all ten community hospitals in Powys. The system is not only used to monitor inpatients, but is also useful in determining appropriateness of patient transfer to district general hospitals.

Conclusion The track and trigger scoring system has proved useful in assessing patients and alerting staff if their condition is deteriorating. It has ensured, when necessary, timely, appropriate and safe transfer of patients to the district general hospital. The scoring system has been extended to determine appropriateness of accepting patients from the district general hospital to the community hospital.

Nursing Standard. 24, 45,35-39. doi: 10.7748/ns2010.07.24.45.35.c7905

Correspondence

jo.wolfenden@powyslhb.wales.nhs.uk

Peer review

This article has been subject to double blind peer review