We know that rapid response teams (RRTs) and telemetry monitoring have been disappointing in this regard. Telemetry monitoring is known to be overutilized. Although telemetry guidelines, published in 1991, are no longer available on line, here is a modified version of those guidelines adopted by
In comparison with the lowest score, the risk of death was incremental among all the MEWS categories, as well as the risk of the combined outcome of death and transfer, and highly significant…
We have confirmed that the MEWS, even when calculated once on admission, is a simple but highly useful tool to predict a worse in-hospital outcome.
Patients with MEWS scores of 2, 3, 4 and 5 or greater had a risk of in hospital death or transfer to higher acuity of care of 17.5%, 26.8%, 36.4% and 43.6% respectively.