Background: Modified Early Warning System(MEWS) is a scoring system based on vitals sign and clinical observation which has been implemented in 2007 as a useful tool to timely recognition and early intervention. The effectiveness of implementation of MEWS as an important tool for rapid response team has been a question and the main objective of [...]

Background: Rapid response system (RRS) was developed in recent decades for the timely identification and treatment of clinically deteriorating patients. Appropriate use of RRS will decrease the incidence of cardiac arrest and mortality. Although efficacy of RRS was reported mostly in an inpatient setting, there were very limited data in an outpatient setting. The aim [...]

Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly imaging studies that are unlikely to change management. The purpose of the study is to determine when obtaining CT imaging [...]