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 work stream for Acute Medicine Programme. On Monday 18th February 2013, the 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.
*Score Will Change to System as part of the revision process.
Outlined in the table are the four early warning systems (EWS) currently used in acute hospital settings in Ireland:
|Early Warning System||Abbreviation||Originating National Work Stream|
|National Early Warning System||NEWS||Acute Medicine programme|
|Irish Maternity Early Warning System||IMEWS||Obstetrics and Gynaecology programme|
|Paediatric Early Warning System||PEWS||Paediatrics and Neonatology programme|
|Emergency Medicine Early Warning System||EMEWS||Emergency Medicine Programme|
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 is divided into three work streams to effectively harmonise the EWSs and improve patient safety:
1. Guideline Development Project
2. Service Improvement Project
3. Education Project