Dublin Core
Title
The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting
Subject
Clinical Deterioration, Early Warning System, Patient Safety
Description
Percakapan dengan Gemini
Ketik ulang
Berikut adalah hasil ketik ulang teks dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-22-020_cn.wps.moffice_eng.jpg:
Research Square
Preprints are preliminary reports that have not undergone peer review. They should not be considered conclusive, used to inform clinical practice, or referenced by the media as validated information.
The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting
Herna Rinayanti Manurung
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Nurmawan Sinaga
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febriana Sari
febrianasari@mitrahusada.ac.id
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nasrul Zaman
Syiah Kuala University
Rizky Hayati Ginting
Syiah Kuala University
Research Article
Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care
Posted Date: April 17th, 2026
DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1
License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License
Additional Declarations: No competing interests reported.
Page 1/16
Abstract
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.
Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.
Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via... (teks terpotong di bagian bawah gambar)
Ketik ulang
Berikut adalah hasil ketik ulang teks lengkap dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-16-789_cn.wps.moffice_eng.jpg:
Herna Rinayanti Manurung
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Nurmawan Sinaga
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febriana Sari
febrianasari@mitrahusada.ac.id
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nasrul Zaman
Syiah Kuala University
Rizky Hayati Ginting
Syiah Kuala University
Research Article
Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care
Posted Date: April 17th, 2026
DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1
License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License
Additional Declarations: No competing interests reported.
Page 1/16
Abstract
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.
Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.
Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via validated questionnaires and analyzed using Chi-square tests.
Results: Statistical analysis revealed that knowledge (p=0.001), training (p=0.002), attitude (p=0.005), and organizational support (p=0.001) significantly correlate with EWS implementation accuracy. Notably, 77.1% of clinicians failed to implement EWS effectively in environments lacking managerial support.
Discussion: These findings highlight that EWS precision is a manifestation of cognitive competence integrated with systemic organizational reinforcement.
Conclusion: Bridging the "accuracy gap" requires a paradigm shift from administrative compliance to a robust patient safety ecosystem that integrates structured training and active managerial oversight.
Ketik ulang
Berikut adalah hasil ketik ulang teks dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-22-020_cn.wps.moffice_eng.jpg:
Research Square
Preprints are preliminary reports that have not undergone peer review. They should not be considered conclusive, used to inform clinical practice, or referenced by the media as validated information.
The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting
Herna Rinayanti Manurung
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Nurmawan Sinaga
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febriana Sari
febrianasari@mitrahusada.ac.id
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nasrul Zaman
Syiah Kuala University
Rizky Hayati Ginting
Syiah Kuala University
Research Article
Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care
Posted Date: April 17th, 2026
DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1
License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License
Additional Declarations: No competing interests reported.
Page 1/16
Abstract
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.
Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.
Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via... (teks terpotong di bagian bawah gambar)
Ketik ulang
Berikut adalah hasil ketik ulang teks lengkap dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-16-789_cn.wps.moffice_eng.jpg:
Herna Rinayanti Manurung
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Nurmawan Sinaga
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Febriana Sari
febrianasari@mitrahusada.ac.id
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nasrul Zaman
Syiah Kuala University
Rizky Hayati Ginting
Syiah Kuala University
Research Article
Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care
Posted Date: April 17th, 2026
DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1
License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License
Additional Declarations: No competing interests reported.
Page 1/16
Abstract
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.
Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.
Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via validated questionnaires and analyzed using Chi-square tests.
Results: Statistical analysis revealed that knowledge (p=0.001), training (p=0.002), attitude (p=0.005), and organizational support (p=0.001) significantly correlate with EWS implementation accuracy. Notably, 77.1% of clinicians failed to implement EWS effectively in environments lacking managerial support.
Discussion: These findings highlight that EWS precision is a manifestation of cognitive competence integrated with systemic organizational reinforcement.
Conclusion: Bridging the "accuracy gap" requires a paradigm shift from administrative compliance to a robust patient safety ecosystem that integrates structured training and active managerial oversight.
Creator
Herna Rinayanti Manurung, Siti Nurmawan Sinaga, Febriana Sari, Imran Saputra Surbakti, Nasrul Zaman, Rizky Hayati Ginting