What are we doing?
Computer-Aided Risk Scores systems (CARSs) rely on two routinely collected clinical data sets: the patient’s vital signs data as defined by the National Early Warning Score (NEWS), and routine blood test results. In most instances, these data are available within 60 minutes of unplanned admission to a ward and will be automatically updated as soon as the NEWS or blood results are updated. Previous work has shown that staff view the scores favourably because the scores (a) are automated, (b) require no additional data collection and (c) combine 16 clinical variables whilst aiming to support the clinical decision-making process with real time estimates of the patient’s risk of mortality (CARM) and sepsis (CARS). We are conducting a service evaluation of a pilot implementation of CARM at one NHS hospital trust. We will additionally assess the feasibility of scaling-up this important digital innovation for broader implementation.
Patient and Public Involvement and Engagement
Patient and user-groups have informed iterations to CARSs. Future work includes PPI&E in aspects of research design, data collection, interpretation of findings and dissemination of patient-facing reports.
Patients and members of the public have been involved in the development, pilot implementation and evaluation of CARSs tools. Service user groups have helped us to interpret findings from our recent implementation evaluation and will continue to work with us as we assess the feasibility of scaling up this digital innovation for wider use.
Outputs and impact
The outputs from our evaluative work will be reported to NHS partners, including local dissemination of findings as required; Academic publication within a peer-reviewed publication and academic quality and safety forums; Activity and findings reported to NIHR as part of annual report for funding body for the YH-PSTRC; Dissemination of findings from broader research stream via PSTRC dissemination networks, the Yorkshire and Humberside Improvement Academy and in collaboration with NHS partners; Inform methodology/feasibility for a broader evaluation and associated funding applications.
Further information on CARSs and associated outputs can be accessed here https://carssresearch.org/
If you have any questions about our CARSs research, please contact Dr Carolyn McCrorie.