Effect of Digital Early Warning Scores on Hospital Vital Sign Observation Protocol Adherence: Stepped-Wedge Evaluation

David Chi-Wai Wong   ¹ , MEng, DPhil ;   Timothy Bonnici   ² , BSc, MBBS, PhD ;   Stephen Gerry   ³ , BSc, MSc ;   Jacqueline Birks   ³ , MA, MSc ;   Peter J Watkinson   ^{4, 5, 6} , MD

¹ Leeds Institute of Health Sciences, School of Medicine, University of Leeds, Leeds, United Kingdom

² Critical Care Division, University College Hospital London NHS Foundation Trust, London, United Kingdom

³ Centre for Statistics in Medicine, University of Oxford, Oxford, United Kingdom

⁴ Oxford University Hospitals NHS Trust, Oxford, United Kingdom

⁵ NIHR Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom

⁶ Nuffield Department of Clinical Neurosciences, Kadoorie Centre for Critical Care Research and Education, University of Oxford, Oxford, United Kingdom