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The new system, which monitors and collects patient data, has recently gone wireless. It is being tested for patients in a hospital in Birmingham, England, but with some remote equipment it can be used in future hospitals. The more I read on the topic, the more I realized that long-term patient evaluation could change medications in different ways: speeding up clinical responses and changing health outcomes; rehabilitation of medical facilities; and perhaps change the way doctors like me think, in ways that we would not easily accept.
Take care of Patients have been responsible for all doctors for some time. For many years, medical professionals used their strength to diagnose the condition of the patient. Even now, we doctors have been trained to recognize the sweetness of diabetic sweets, a glass bottle that feels like a closed intestine, and a cold, soft feeling of pleasure as the patient passes by. But a detailed drawing of statistics is the most amazing thing that has happened recently.
In the late 19th century, weapons were developed to measure health symptoms. These are the four most important symptoms: heart rate, heart rate, temperature, and blood pressure. It was only near the end of the last century that these important signs, also known as spectators, began to be written in detail. I am World War it was used frequently. Studies of these charts have shown that people do not die when these vital signs were normal; hearts do not stand out in the blue. But for many years, the ability to interpret obs charts was, for the uneducated, as wonderful as reading tea leaves.
Then, in 1997, a team at James Paget University Hospital in Norfolk, England, developed an early warning system in which a nurse could change signs that needed to be scored. If the rash crossed the line, it was a sign that you should seek medical help. Such procedures were carefully administered to older patients, but it was not known whether they would work in children, whose physical responses may be different from those in adults.
Heather Duncan became aware of the early warning system for elderly patients in 2000, while working in South Africa as a pediatrician. In many cases, what appears to be a hospital is not linked to the original inpatient care. But Duncan tried to link these two dates – from the community to the hospital – to create a more meaningful, more comprehensive story for patients. She took the trouble to review the records of her seriously ill children, and made their own important signs from the time she was first admitted to the hospital until their release or death at the hospital. “I saw that the children were being treated for heart disease or hospitalization, and that there was a chance we could go on,” he recalls.
His frustrating notion that more could be done for such children has been confirmed by the UK Searching for Secrets on the Death of Children, who found that more than a quarter of children in National Health Service hospitals were dying from preventable causes. In 2003, Duncan completed his patient consultation with patients at the Sick Children’s Hospital in Toronto, where – along with Chris Parshuram, a paramedic – he developed the Pediatric Early Warning System, or PEWS, a system for enrolling sick children.
Duncan now works as a pediatric counselor at Birmingham Children’s Hospital. I found him on Zoom October last. Duncan was working from home, covered in autumn in England in thick, creamy hair, his hair back to his waist, and he was wearing a blue ornament that matched his eyes. He speaks in a clear South African voice and is very calm, which is certainly helpful in this difficult task. His hospital received a PEWS award in 2008 and saw a drop in the number of children dying of cardiac arrest – from 12 in 2005 to no deaths in 2010.
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