Deteriorating Patient Programme and National Early Warning System (NEWS)
Early Warning Systems
Early Warning Systems (EWS) are used in acute hospitals settings to support the recognition and response to a deteriorating patient. The EWS focuses on:
- Categorization of patients’ SEVERITY of illness
- EARLY detection of patient deterioration
- Use of a structured COMMUNICATION tool (ISBAR)
- Promote an early medical review, prompted by specific TRIGGER points
- Use a definitive ESCALATION plan
The National Early Warning System (NEWS) originated as a workstream for Acute Medicine Programme. In 2013, the then Minister for Health Dr James Reilly launched an important new patient safety initiative - the first National Clinical Guideline- the National Early Warning Score for Ireland.
The National Clinical Guidelines are used to further improve the quality, safety, and cost-effectiveness of healthcare across Ireland. In 2020 this guideline was revised by the DPIP programme and renamed Irish National Warning System (INEWS V2).
The National Deteriorating Patient (Recognition & Response) Improvement Programme (DPIP) has been identified as a priority patient safety improvement programme by the National Patient Safety Office.
The programme consists of three workstreams to effectively harmonise the EWSs and improve patient safety.
1. Guideline Development Project
2. Service Improvement Project
3. Education Project