1. MEWS Tool Code Sepsis Team and Rapid Response Committee

2. Why are We Doing This?
UNC Hospitals has a mortality problem, we are ranked in the bottom 10% for large academic medical centers.
Research shows that there are signs of deterioration for 6-8 hours before a significant event.
The 100,000 lives campaign encourages hospitals to utilize rapid response teams at the first sign of decline
Failure to Rescue is a national concern that affects all types of patients.

3. What’s New? MEWS Score available in Epic Updates constantly, trends Q2
Information in patient lists and patient charts

4. MEWS Scoring Algorithm
Uses vital signs to generate an acuity score
No process change or manual entry
An additional tool to help identify deterioration
MEWS Score is an acuity score that can be trended over time in the patient record to provide a picture of each patient’s acuity using the algorithm above.
The scores are the same for each unit and hospital however the clinical response can be customized.

5. Color Coded Scores
1-4
5-6 7+

6. Clinical Response to MEWS Scores (may vary by unit)

7. MEWS Tool Scores trend every 2 hours to monitor changes in MEWS
Scoring components detail each components score
Comment field to communicate with ARRT
Available on patient lists and services

8. Next Steps Suggestions for Training Opportunities? Staff Training
Champions for each unit
Traveling Road Show
News for Managers and News for Employees
Suggestions for Training Opportunities?

9. What do we Need from You? Unit champions!
Mention MEWS in staff meetings and weekly update
Share training opportunities (unit meetings, leadership meetings, NA meetings)

10. Contact Meridith Pumphrey or Ila Mapp with any questions, comments, team members, or training opportunities!
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