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In acute-care settings, Q-ADDS observation charts effectively predict patient deterioration 6 hours before the event. The aggregated Q-ADDS score is a better deterioration predictor than any individual vital sign.
How do you calculate the adds score?
The Total Q-ADDS Score = Respiratory Rate + O2 Saturation + O2 Flow Rate + Systolic Blood Pressure + Heart Rate + Temperature + Behaviour and Consciousness.
When was Qadds introduced?
The Q-ADDS has been used in Queensland since 2012 and ing to Dr Campbell - is unique compared to other paper-based early warning tools. It combines a vital-sign based scoring algorithm similar to the NEWS tool in the UK with hard trigger limits, similar to the pioneering BTF tool used in NSW.
What is an adds chart?
The ADDS chart was designed with the very specific aim of being a tool to detect patient deterioration, rather than being an all-encompassing general observation chart.
What is a patient observation chart?
Observation charts are used by clinical teams to record a patients physiological parameters: respiratory rate, oxygen saturation levels, blood pressure, temperature, pulse rate, and level of consciousness.
Additionally, Q-ADDS provides a high-severity ward level alert (high-severity score 6), with higher sensitivity than NEWS or BTF MET thresholds. Escalation for single vital sign derangements may have serious implications for patient safety and resource allocation.
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