TITLE:
Research on the Construction and Application of Communication Protocols for the Transfer of Critically Ill Cancer Patients in ICU under the Background of MEWS Early Warning Score
AUTHORS:
Yanyu Chen, Qiongyao Guan, Wenting Zhang, Xiaohua Ren, Xiangping Ma, Shiyao Yang, Yan Yang
KEYWORDS:
Mews Early Warning Score, ICU, Oncology, Critically Ill Patients, Transfer Communication, Protocol Development, Application Research
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.13 No.12,
December
4,
2025
ABSTRACT: Objective: To develop a communication protocol suitable for the transfer of critically ill cancer patients in ICU under the MEWS early warning scoring system and to evaluate its application effect. Methods: Through a literature review and combining the results of current situation survey, a preliminary draft of the communication protocol for the transfer of critically ill cancer patients in ICU under the MEWS early warning scoring system was formed through group discussions. 15 experts were invited to conduct two rounds of Delphi expert consultation, resulting in a revised draft. The protocol was further refined through pre-experiments to form the final version, which was validated in 94 cases of critically ill cancer patients and their families during transfer in ICU. The expert positive rate in both rounds of consultation was 100%. The expert judgment basis (Ca) was 0.88, familiarity (Cs) was 0.89, authority coefficient (Cr) was 0.89, and Kendall’s W coefficients were 0.08 and 0.117 (P