Impact Of EWS Implementation On The Quality Of Inpatient Services In Indonesian Hospitals : Literature Review

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Vica Firdausa

Abstract

The Early Warning Score (EWS) is a clinical monitoring system used in inpatient settings to detect early signs of patient deterioration. EWS is expected to improve hospital service quality, particularly in patient safety. This article aims to review the impact of EWS implementation on the quality of inpatient care in hospitals in Indonesia using a literature review method. Data were obtained from six open access scientific articles published in 2020-2026 through searches on Google Scholar, ScienceDirect, and Garuda Portal with the keywords "Early Warning Score" AND "Service Quality" AND "Inpatient" AND "Hospital". The review shows that EWS holds great potential in reducing mortality and enhancing early detection of clinical deterioration. However, its effectiveness highly depends on system quality, healthcare provider engagement, and organizational support. Low usage rates of EWS remain a significant barrier to achieving its full benefits. EWS implementation contributes positively to the quality of inpatient services, but optimal application is necessary to maximize its clinical impact.

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How to Cite
Firdausa, V. (2026). Impact Of EWS Implementation On The Quality Of Inpatient Services In Indonesian Hospitals : Literature Review. International Journal of Health Engineering and Technology, 5(1). https://doi.org/10.55227/ijhet.v5i1.781
Section
Health

References

Anderson, E., & Rantepadang, A. (2022). Frekuensi Napas dan Ews Pada Pasien di Departemen Gawat Darurat. Klabat Journal of Nursing, 4(2), 66–71. https://doi.org/10.37771/kjn.v4i2.834

Bobonera, T. T., Mubin, M. F., Pohan, V, Y., Soesanto, E., & Astuti, R. (2024). Application of Early Warning System (EWS) in Patients with Cardiovascular Disorders: A Descriptive Study. Media Keperawatan Indonesia, 7(1), 31-37. http://dx.doi.org/10.26714/mki.7.1.2024.31-37

Hidayat, D. I., Agushybana, F., & Nugraheni S. A. (2020). Analisis Faktor Yang Berhubungan Dengan Penggunaan Early Warning System Pada Perubahan Klinis Pasien Di Rumah Sakit X. VISIKES Jurnal Kesehatan, 9(2), 536-547. https://doi.org/10.33633/visikes. v19i2.3437

Hidayat, D., Agushybana, F., & Nugraheni, S. (2020). Early Warning System pada Perubahan Klinis Pasien terhadap Mutu Pelayanan Rawat Inap. HIGEIA Journal of Public Health Research and Development, 4(3), 506-519. https://doi.org/10.15294/higeia.v 4i3.37842

Kristianingsih, Y., Djajanti, C. Y., Setyawati, E. I. E., & Hartati, R. (2023). Kemampuan Perawat Dalam Penerapan Early Warning System (EWS) COVID-19. Jurnal Keperawatan Muhammadiyah, 8(1), 154-158. https://doi.org/10.30651/jkm.v8i1.16039

Listiana, S. & Adnan N. (2025). Hubungan Early Warning Scoring System dengan Mortalitas Pasien Covid 19 di Rumah Sakit Universitas Indonesia. JEKK (Jurnal Epidemiologi Kesehatan Komunitas), 10(1), 88-96. https://lib.fkm.ui.ac.id/detail?id= 134756&lokasi=lokal

Megawati, S., Sondari, S., & Tambunan, I. (2021). Dampak Implementasi Model Early Warning Score Terhadap Mutu Pelayanan Rawat Inap. Jurnal Medika Cendikia, 8(1), 31-38. https://doi.org/10.33482/medika. v8i1.155

Millizia, A., Rizka, A., & Mellaratna W. P. (2023). Time Saving is Life Saving: Pelatihan Early Warning Scoring System dan Code Blue untuk Tenaga Kesehatan Ruang Rawat Inap RSUD Cut Meutia Aceh Utara. Jurnal Malikussaleh Mengabdi, 2(1), 242-250. https://doi.org/10.29103/jmm.v2n1.9397

Raharni, D. A., Djasri, H., & Ratmasari, D. (2023). Analisis Faktor Yang Memengaruhi Mortalitas Pasien Rawat Inap Di Rumah Sakit Akademik UGM. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 26(4). https://doi.org/10.22146/jmpk.v2 6i4.11082

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