Early Warning System for Emergency Care: Designing a Timely Monitoring Mobile-Based System.

Early Warning Scores (EWSs) systems support the timely detection of patient deterioration and rapid response of the care team. Due to the mobility nature of healthcare settings, there has been a growing tendency to use mobile-based devices in these settings. This chapter aimed to design a mobile-based EWS application (app). This was a descriptive study to design the architecture of the proposed EWS app. The design of architecture was done using the Unified Modeling Language diagrams including a class diagram, use-case diagram, and activity diagram. We evaluated the architecture using the ARID scenario-based evaluation method. The proposed EWS application (app) was the integration of three EWSs, including NEWS2, PEWS, and MEOWS. The workflow of these EWSs systems was designed and integrated into a single app. Also, the static structure of the proposed EWS app was designed by class diagram and the behavioral structure was depicted by use-case and activity diagrams. The class diagram showed the system components and their relationships. However, the use-case diagram displayed the app's interaction with its environment, and the activity diagram illustrated how the EWS app processes were carried out. Evaluation results showed the possibility of designing the architecture for the proposed EWS app. In our app, the EWSs were designed in the clinician's workflow, and it was integrated with the patient's Electronic Health Record (EHR). These factors may lead to more use of EWSs. Considering the frequency of alerts represented to clinicians and the user-friendly design of the app, some suggestions can be considered by EWS systems developers in the future.