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Journal articles on the topic 'National Early Warning Score System'

Author: Grafiati

Published: 17 May 2025

Last updated: 31 July 2025

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1

Neary, Peter M., Mark Regan, Myles J. Joyce, Oliver J. McAnena, and Ian Callanan. "National early warning score (NEWS) – evaluation in surgery." International Journal of Health Care Quality Assurance 28, no. 3 (2015): 245–52. http://dx.doi.org/10.1108/ijhcqa-01-2014-0012.

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Purpose – The purpose of this paper is to evaluate staff opinion on the impact of the National Early Warning Score (NEWS) system on surgical wards. In 2012, the NEWS system was introduced to Irish hospitals on a phased basis as part of a national clinical programme in acute care. Design/methodology/approach – A modified established questionnaire was given to surgical nursing staff, surgical registrars, surgical senior house officers and surgical interns for completion six months following the introduction of the NEWS system into an Irish university hospital. Findings – Amongst the registrars,

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Chen, Jack. "Does the National Early Warning Score 2 system serve its purpose?" Resuscitation 134 (January 2019): 145–46. http://dx.doi.org/10.1016/j.resuscitation.2018.11.006.

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Fuijkschot, Joris, Boris Kramer, Gijs Vos, and Sam Sambeeck. "Pediatric Early Warning System Scores: Lessons to be Learned." Journal of Pediatric Intensive Care 07, no. 01 (2017): 027–32. http://dx.doi.org/10.1055/s-0037-1602802.

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AbstractThe objective was to evaluate the use of a pediatric early warning system (PEWS) score in Dutch general and university hospitals, 4 years after the introduction of a national safety program in which the implementation of a PEWS was advised. An electronic cross-sectional survey was used. All general and university hospitals (n = 91) with a pediatric department in The Netherlands were included in the study. The response rate was 100%. Three-quarters of all Dutch hospitals were using a PEWS score in the pediatric department. A wide variation in the parameters was found leading to 45 diffe

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Smith, Gary B., David R. Prytherch, Paul Meredith, and Paul E. Schmidt. "Early warning scores: unravelling detection and escalation." International Journal of Health Care Quality Assurance 28, no. 8 (2015): 872–75. http://dx.doi.org/10.1108/ijhcqa-07-2015-0086.

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Purpose – The purpose of this paper is to increase understanding of how patient deterioration is detected and how clinical care escalates when early warning score (EWS) systems are used. Design/methodology/approach – The authors critically review a recent National Early Warning Score paper published in IJHCQA using personal experience and EWS-related publications, and debate the difference between detection and escalation. Findings – Incorrect EWS choice or poorly understood EWS escalation may result in unnecessary workloads forward and responding staff. Practical implications – EWS system imp

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Milne-Ives, Madison, Victoria Riccalton, Chris Plummer, et al. "Modifications to the National Early Warning Score: a scoping review protocol." BMJ Open 14, no. 10 (2024): e089061. http://dx.doi.org/10.1136/bmjopen-2024-089061.

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IntroductionThe National Early Warning Score (NEWS/2) system was developed to enable the detection and early intervention of patients at risk of clinical deterioration. It has demonstrated good accuracy in identifying imminent critical outcomes but has limitations in its applicability to various patient types and its ability to predict upcoming deterioration beyond 24 hours. Various studies have attempted to improve its predictive accuracy and clinical utility by modifying or adding variables to the standard NEWS/2 system. The purpose of this scoping review is to identify modifications to the

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Durantez-Fernández, Carlos, Begoña Polonio-López, José L. Martín-Conty, et al. "Comparison of Nine Early Warning Scores for Identification of Short-Term Mortality in Acute Neurological Disease in Emergency Department." Journal of Personalized Medicine 12, no. 4 (2022): 630. http://dx.doi.org/10.3390/jpm12040630.

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(1) Background: The aim was screening the performance of nine Early Warning Scores (EWS), to identify patients at high-risk of premature impairment and to detect intensive care unit (ICU) admissions, as well as to track the 2-, 7-, 14-, and 28-day mortality in a cohort of patients diagnosed with an acute neurological condition. (2) Methods: We conducted a prospective, longitudinal, observational study, calculating the EWS [Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), VitalPAC Early Warning Score (ViEWS), Modified Rapid Emergency Medicine Score (MREMS), Early Warnin

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Van Velthoven, Michelle Helena, Felicia Adjei, Dimitris Vavoulis, Glenn Wells, David Brindley, and Attila Kardos. "ChroniSense National Early Warning Score Study (CHESS): a wearable wrist device to measure vital signs in hospitalised patients—protocol and study design." BMJ Open 9, no. 9 (2019): e028219. http://dx.doi.org/10.1136/bmjopen-2018-028219.

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IntroductionThe National Early Warning Score is used as standard clinical practice in the UK as a track and trigger system to monitor hospitalised patients. Currently, nurses are tasked to take routine vital signs measurements and manually record these on a clinical chart. Wearable devices could provide an easier, reliable, more convenient and cost-effective method of monitoring. Our aim is to evaluate the clinical validity of Polso (ChroniSense Medical, Yokneam Illit, Israel), a wrist-based device, to provide National Early Warning Scores.Methods and analysisWe will compare Polso National Ear

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Majidinejad, Saeed, Farhad Heydari, Ahmad Ahmadi, Mohammad Nasr-Esfahani, Hossein Shayannejad, and NedaAl-Sadat Fatemi. "A comparison between modified early warning score, worthing physiological scoring system, national early warning score, and rapid emergency medicine score in predicting inhospital mortality in multiple trauma patients." Archives of Trauma Research 10, no. 4 (2021): 188. http://dx.doi.org/10.4103/atr.atr_31_21.

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Sasmito, Priyo, Salim Aljufri, Leli Mulyati, et al. "A Systematic Review: Early Warning System for Hospital Wards." International Journal of Public Health Excellence (IJPHE) 3, no. 2 (2024): 647–55. http://dx.doi.org/10.55299/ijphe.v3i2.782.

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Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant article

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Maarif, Samsul, Teguh Wahju Sardjono, and Yuliani Wiji Utami. "National Early Warning Score Parameters at the Emergency Department as In Hospital Cardiac Arrest Predictors." International Journal of Science and Society 2, no. 4 (2020): 1–9. http://dx.doi.org/10.54783/ijsoc.v2i4.185.

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In Hospital Cardiac Arrest (IHCA) is fairly common occurrence, although it can be prevented. Physiological status monitoring at Emergency Departement (ED) is crucial for early detection of potential IHCA incidence. National Early Warning Score (NEWS) is a scoring system to assess deterioration of patient's condition, but it is not yet known which parameters that have predictive value for IHCA incidence. Examine NEWS parameters of the patients while at the ED that have predictive value of IHCA incidence. This study was conducted retrospectively on inpatient medical records. The NEWS parameters

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Sasmito, Priyo, Ahmadi Ahmadi, Leli Mulyati, et al. "National early warning system adherence: Is nurses’ clinical competence involved associated with protocol in a hospital in Indonesia?" Malahayati International Journal of Nursing and Health Science 7, no. 2 (2024): 242–50. http://dx.doi.org/10.33024/minh.v7i2.180.

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Background: The implementation of the Early Warning System (EWS) in developing countries still faces many obstacles. The National Early Warning Score (NEWS) is one of the most frequently used EWS. The factors affecting its compliance are still being studied. Purpose: To analyze the involvement of nurse clinical competence in adherence to the National Early Warning Score (NEWS) protocol in a hospital in Indonesia. Method: This study is an observational analytic study with a cross-sectional approach to nurses in the medical ward. Nurse characteristics consisting of age, gender, education level,

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Patriajati, Aji. "Differences of The Number of Maternal References In Semarang Public Health Center Based on MEOWS Scoring System." Diponegoro International Medical Journal 2, no. 2 (2021): 54–62. http://dx.doi.org/10.14710/dimj.v2i2.11120.

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Background: The maternal mortality rate in Semarang is 121.5 per 100,000 live births, the second-highest in Central Java. The early warning system with the Early Warning Score and the maternal emergency early warning system (PDKM) still has various shortcomings to reduce MMR.Objective: This study aims to prove the effectiveness of the application of the PDKM Modified Early Obstetric Warning System (MEOWS) as an assessment of the risk of pregnancy in primary health facilities to reduce MMR in Semarang.Methods: The study was conducted on all pregnant women who came to Tlogosari Wetan, Tlogosari

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Quirk, L., R. Daunt, and A. M. O'Flynn. "128 THE USE OF THE IRISH NATIONAL EARLY WARNING SCORE TO DOCUMENT NEW CONFUSION." Age and Ageing 50, Supplement_3 (2021): ii9—ii41. http://dx.doi.org/10.1093/ageing/afab219.128.

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Abstract Background The Irish National Early Warning System (INEWS) V2 has added ‘new confusion/altered mental status/delirium’ as a sign of early deterioration. It is captured as ‘C’ in ACVPU. A ‘C’ score’ should prompt concern regarding possible serious causes and requires urgent clinical review. The objective of this study is to identify the extent to which the INEWS ‘C’ score is used appropriately by healthcare professionals in an Irish hospital. Methods This is a cross-sectional study of inpatients over 65 years. Medical records, nursing notes and INEWS charts were reviewed for documentat

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Plummer, Chris, Cen Cong, Madison Milne-Ives, Lynsey Threlfall, Peta Le Roux, and Edward Meinert. "Improving the Predictive Accuracy of the National Early Warning Score 2: Protocol for Algorithm Refinement." JMIR Research Protocols 14 (July 21, 2025): e70303. https://doi.org/10.2196/70303.

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Background The National Early Warning Score 2 (NEWS2) has been widely adopted for predicting patient deterioration in health care settings using routinely collected physiological observations. The use of NEWS2 has been shown to reduce in-hospital mortality, but it has limited accuracy in the prediction of clinically important outcomes, especially over longer time periods. Objective This project aims to improve the predictive accuracy of the NEWS2 scoring system, particularly its accuracy over more than 24 hours and its predictive value in older patients and children. It will investigate whethe

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Edelson, Dana P., Matthew M. Churpek, Kyle A. Carey, et al. "Early Warning Scores With and Without Artificial Intelligence." JAMA Network Open 7, no. 10 (2024): e2438986. http://dx.doi.org/10.1001/jamanetworkopen.2024.38986.

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ImportanceEarly warning decision support tools to identify clinical deterioration in the hospital are widely used, but there is little information on their comparative performance.ObjectiveTo compare 3 proprietary artificial intelligence (AI) early warning scores and 3 publicly available simple aggregated weighted scores.Design, Setting, and ParticipantsThis retrospective cohort study was performed at 7 hospitals in the Yale New Haven Health System. All consecutive adult medical-surgical ward hospital encounters between March 9, 2019, and November 9, 2023, were included.ExposuresSimultaneous E

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Berge, Kristian, Jon Brynildsen, Ragnhild Røysland, et al. "Prognostic value of cardiac biomarkers and National Early Warning Score 2 in acute dyspnoea." Open Heart 9, no. 1 (2022): e001938. http://dx.doi.org/10.1136/openhrt-2021-001938.

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ObjectivePatients hospitalised with acute dyspnoea due to acute heart failure (AHF) have a grave prognosis, but the European Society of Cardiology guidelines recommend no system to risk stratify these patients. The prognostic value of combining National Early Warning Score (NEWS) 2 and established cardiac biomarkers is not known.MethodsWe measured high-sensitivity cardiac troponin T (hs-cTnT) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) and calculated NEWS2 in 314 patients with acute dyspnoea within 24 hours of hospitalisation. Their prognostic merits were assessed in the total co

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Nielsen, Pernille B., Martin Schultz, Caroline Sophie Langkjaer, et al. "Adjusting Early Warning Score by clinical assessment: a study protocol for a Danish cluster-randomised, multicentre study of an Individual Early Warning Score (I-EWS)." BMJ Open 10, no. 1 (2020): e033676. http://dx.doi.org/10.1136/bmjopen-2019-033676.

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IntroductionTrack and trigger systems (TTSs) based on vital signs are implemented in hospitals worldwide to identify patients with clinical deterioration. TTSs may provide prognostic information but do not actively include clinical assessment, and their impact on severe adverse events remain uncertain. The demand for prospective, multicentre studies to demonstrate the effectiveness of TTSs has grown the last decade. Individual Early Warning Score (I-EWS) is a newly developed TTS with an aggregated score based on vital signs that can be adjusted according to the clinical assessment of the patie

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Romero-Brufau, Santiago, Daniel Whitford, Matthew G. Johnson, et al. "Using machine learning to improve the accuracy of patient deterioration predictions: Mayo Clinic Early Warning Score (MC-EWS)." Journal of the American Medical Informatics Association 28, no. 6 (2021): 1207–15. http://dx.doi.org/10.1093/jamia/ocaa347.

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Abstract Objective We aimed to develop a model for accurate prediction of general care inpatient deterioration. Materials and Methods Training and internal validation datasets were built using 2-year data from a quaternary hospital in the Midwest. Model training used gradient boosting and feature engineering (clinically relevant interactions, time-series information) to predict general care inpatient deterioration (resuscitation call, intensive care unit transfer, or rapid response team call) in 24 hours. Data from a tertiary care hospital in the Southwest were used for external validation. C-

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Austen, Charlotte, Caroline Patterson, Alan Poots, Stuart Green, Theresa Weldring, and Derek Bell. "Using a Local Early Warning Scoring System as a Model for the Introduction of a National System." Acute Medicine Journal 11, no. 2 (2012): 66–73. http://dx.doi.org/10.52964/amja.0548.

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Background: Chelsea and Westminster Hospital introduced the Chelsea Early Warning Score (CEWS) in 2007 to aid the recognition of acutely unwell patients. The Royal College of Physicians subsequently recommended a National Early Warning Score (NEWS) for implementation across the NHS. The aim of this study was to evaluate local adherence to CEWS to identify potential obstacles to the consistent implementation of NEWS. Method: Emergency Department (ED) and Acute Assessment Unit (AAU) notes were retrospectively reviewed for a convenience sample of 102 patients admitted to the AAU. Outcome measures

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Tang, Qinhua, Xingxing Cen, and Changqing Pan. "Explainable and efficient deep early warning system for cardiac arrest prediction from electronic health records." Mathematical Biosciences and Engineering 19, no. 10 (2022): 9825–41. http://dx.doi.org/10.3934/mbe.2022457.

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<abstract> <p>Cardiac arrest (CA) is a fatal acute event. The development of new CA early warning system based on time series of vital signs from electronic health records (EHR) has great potential to reduce CA damage. In this process, recursive architecture-based deep learning, as a powerful tool for time series data processing, enables automatically extract features from various monitoring clinical parameters and to further improve the performance for acute critical illness prediction. However, the unexplainable nature and excessive time caused by black box structure with poor pa

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Chawla, Arun, Sunil Pillai Bhaskara, Ravi Taori, et al. "Evaluation of early scoring predictors for expedited care in patients with emphysematous pyelonephritis." Therapeutic Advances in Urology 14 (January 2022): 175628722210787. http://dx.doi.org/10.1177/17562872221078773.

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Introduction: Emphysematous pyelonephritis (EPN), an acute necrotizing infection of the kidney and surrounding tissues, is associated with considerable mortality. We evaluated how existing critical care scoring systems could predict the need for intensive care unit (ICU) management for these patients. We also analyzed if CT-imaging further enhances these predictive systems. Patients and Methods: A retrospective analysis of 90 consecutive patients diagnosed clinico-radiologically with EPN from January 2011 to September 2020. Five scoring systems were evaluated for their predictive ability for t

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Scott, Lauren J., Niamh M. Redmond, Joanna Garrett, Penny Whiting, Kate Northstone, and Anne Pullyblank. "Distributions of the National Early Warning Score (NEWS) across a healthcare system following a large-scale roll-out." Emergency Medicine Journal 36, no. 5 (2019): 287–92. http://dx.doi.org/10.1136/emermed-2018-208140.

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BackgroundEarly warning scores (EWS) were developed in acute hospital settings to improve recognition and response to patient deterioration. In 2012, the UK Royal College of Physicians developed the National Early Warning Score (NEWS) to standardise EWS across the NHS. Its use was also recommended outside acute hospital settings; however, there is limited information about NEWS in these settings. From March 2015, NEWS was implemented across the healthcare system in the West of England, with the aim that NEWS would be calculated for all patients prior to referral into acute care.AimTo describe

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Kim, Taehwa, Yunwon Tae, Hye Ju Yeo, et al. "Development and Validation of Deep-Learning-Based Sepsis and Septic Shock Early Prediction System (DeepSEPS) Using Real-World ICU Data." Journal of Clinical Medicine 12, no. 22 (2023): 7156. http://dx.doi.org/10.3390/jcm12227156.

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Background: Successful sepsis treatment depends on early diagnosis. We aimed to develop and validate a system to predict sepsis and septic shock in real time using deep learning. Methods: Clinical data were retrospectively collected from electronic medical records (EMRs). Data from 2010 to 2019 were used as development data, and data from 2020 to 2021 were used as validation data. The collected EMRs consisted of eight vital signs, 13 laboratory data points, and three demographic information items. We validated the deep-learning-based sepsis and septic shock early prediction system (DeepSEPS) u

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Cho, Kyung-Jae, Kwan Hyung Kim, Jaewoo Choi, Dongjoon Yoo, and Jeongmin Kim. "External Validation of Deep Learning-Based Cardiac Arrest Risk Management System for Predicting In-Hospital Cardiac Arrest in Patients Admitted to General Wards Based on Rapid Response System Operating and Nonoperating Periods: A Single-Center Study." Critical Care Medicine 52, no. 3 (2023): e110-e120. http://dx.doi.org/10.1097/ccm.0000000000006137.

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OBJECTIVES: The limitations of current early warning scores have prompted the development of deep learning-based systems, such as deep learning-based cardiac arrest risk management systems (DeepCARS). Unfortunately, in South Korea, only two institutions operate 24-hour Rapid Response System (RRS), whereas most hospitals have part-time or no RRS coverage at all. This study validated the predictive performance of DeepCARS during RRS operation and nonoperation periods and explored its potential beyond RRS operating hours. DESIGN: Retrospective cohort study. SETTING: In this 1-year retrospective s

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Semeraro, Federico, Giovanni Corona, Tommaso Scquizzato, et al. "New Early Warning Score: EMS Off-Label Use in Out-of-Hospital Patients." Journal of Clinical Medicine 10, no. 12 (2021): 2617. http://dx.doi.org/10.3390/jcm10122617.

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Background: The National Early Warning Score (NEWS) is an assessment scale of in-hospital patients’ conditions. The purpose of this study was to assess the appropriateness of a potential off-label use of NEWS by the emergency medical system (EMS) to facilitate the identification of critical patients and to trigger appropriate care in the pre-hospital setting. Methods: A single centre, longitudinal, prospective study was carried out between July and August 2020 in the EMS service of Bologna. Home patients with age ≥18 years old were included in the study. The exclusion criterion was the impossi

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Suwanpasu, Sunee, Sukanya Poonsap, and Werapattra Praparpak. "EARLY WARNING SYSTEM SCORE FOR URGENT ET TUBE OR UNPLANNED ICU ADMISSION FOR ELDERLY PATIENTS IN GENERAL WARDS." Innovation in Aging 7, Supplement_1 (2023): 928. http://dx.doi.org/10.1093/geroni/igad104.2982.

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Abstract Early warning system scores are tools used to identify the early signs of physiologic deterioration in order to initiate early intervention and management. This study aims to investigate the efficacy of the National Early Warning Score (NEWS) score and Search out Severity Score (SOS) in predicting urgent ET tube or unplanned ICU admission. A Prospective analytical study of 85 patients aged 60 years and over in general medical wards, was conducted to assess the ability of SOS and NEWS. Prediction ability was assessed using sensitivity, specificity, accuracy, and area under the receiver

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Martín-Rodríguez, Francisco, Raúl López-Izquierdo, Carlos del Pozo Vegas, et al. "Accuracy of National Early Warning Score 2 (NEWS2) in Prehospital Triage on In-Hospital Early Mortality: A Multi-Center Observational Prospective Cohort Study." Prehospital and Disaster Medicine 34, no. 6 (2019): 610–18. http://dx.doi.org/10.1017/s1049023x19005041.

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AbstractIntroduction:In cases of mass-casualty incidents (MCIs), triage represents a fundamental tool for the management of and assistance to the wounded, which helps discriminate not only the priority of attention, but also the priority of referral to the most suitable center.Hypothesis/Problem:The objective of this study was to evaluate the capacity of different prehospital triage systems based on physiological parameters (Shock Index [SI], Glasgow-Age-Pressure Score [GAP], Revised Trauma Score [RTS], and National Early Warning Score 2 [NEWS2]) to predict early mortality (within 48 hours) fr

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Siti Sulaiha, Ima Nadatien, and Eppy Setiyowati. "Modification of the National Early Warning Score (NEWS) Observation Sheet for Patient Emergency Conditions in Hospitals." Journal Of Nursing Practice 8, no. 1 (2024): 119–30. http://dx.doi.org/10.30994/jnp.v8i1.452.

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Background: Currently, the trend of patients admitted to the hospital is increasingly complex and has many co-morbidities, some of which the patient's condition will suddenly worsen or become critical, due to various interrelated causes such as weak monitoring systems and staff reactions to emergencies. Delays in treatment or inadequate care for patients who are treated in the Hospital Ward can result in several adverse conditions, namely increased patients transferred to the ICU (Intensive Care Unit), increased LOS (Lenght of Stay) in the hospital, heart attacks, or patient death. Purpose: Th

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Pullyblank, Anne, Alison Tavaré, Hannah Little, et al. "Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project." British Journal of General Practice 70, no. 695 (2020): e381-e388. http://dx.doi.org/10.3399/bjgp20x709349.

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BackgroundThe National Early Warning Score (NEWS) was introduced to standardise early warning scores (EWS) in England. It has been recommended that NEWS should be used in pre-hospital care but there is no published evidence that this improves outcomes. In 2015, the West of England Academic Health Science Network region standardised to NEWS across all healthcare settings. Calculation of NEWS was recommended for acutely unwell patients at referral into secondary care.AimTo evaluate whether implementation of NEWS across a healthcare system affects outcomes, specifically addressing the effect on m

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Sim, Taeyong, Eun Young Cho, Ji-hyun Kim, et al. "Prospective external validation of a deep-learning-based early-warning system for major adverse events in general wards in South Korea." Acute and Critical Care 40, no. 2 (2025): 197–208. https://doi.org/10.4266/acc.000525.

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Background: Acute deterioration of patients in general wards often leads to major adverse events (MAEs), including unplanned intensive care unit transfers, cardiac arrest, or death. Traditional early warning scores (EWSs) have shown limited predictive accuracy, with frequent false positives. We conducted a prospective observational external validation study of an artificial intelligence (AI)-based EWS, the VitalCare - Major Adverse Event Score (VC-MAES), at a tertiary medical center in the Republic of Korea. Methods: Adult patients from general wards, including internal medicine (IM) and obste

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Marincowitz, Carl, Laura Sutton, Tony Stone, et al. "Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting: an observational cohort study." Emergency Medicine Journal 39, no. 4 (2022): 317–24. http://dx.doi.org/10.1136/emermed-2021-211934.

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BackgroundTools proposed to triage patient acuity in COVID-19 infection have only been validated in hospital populations. We estimated the accuracy of five risk-stratification tools recommended to predict severe illness and compared accuracy to existing clinical decision making in a prehospital setting.MethodsAn observational cohort study using linked ambulance service data for patients attended by Emergency Medical Service (EMS) crews in the Yorkshire and Humber region of England between 26 March 2020 and 25 June 2020 was conducted to assess performance of the Pandemic Respiratory Infection E

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Guan, Gigi, Crystal Man Ying Lee, Stephen Begg, Angela Crombie, and George Mnatzaganian. "The use of early warning system scores in prehospital and emergency department settings to predict clinical deterioration: A systematic review and meta-analysis." PLOS ONE 17, no. 3 (2022): e0265559. http://dx.doi.org/10.1371/journal.pone.0265559.

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Background It is unclear which Early Warning System (EWS) score best predicts in-hospital deterioration of patients when applied in the Emergency Department (ED) or prehospital setting. Methods This systematic review (SR) and meta-analysis assessed the predictive abilities of five commonly used EWS scores (National Early Warning Score (NEWS) and its updated version NEWS2, Modified Early Warning Score (MEWS), Rapid Acute Physiological Score (RAPS), and Cardiac Arrest Risk Triage (CART)). Outcomes of interest included admission to intensive care unit (ICU), and 3-to-30-day mortality following ho

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Shailaja., V. Rao, Aaisha Heena Momin, Sonavani-Borkar Mangala, Patil Mahesh, Zeba Firdous Shaikh, and Andurkar Smita. "Prognostic Accuracy of News 2 in Geriatric Patients with COVID-19 in a Tertiary Care Hospital." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 427–34. https://doi.org/10.5281/zenodo.12664918.

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<strong>Introduction:</strong> COVID-19 is a widespread disease having more impact on elderly as compared to younger age group. [2] Although many parameters have emerged as predictors of prognosis of COVID-19, a simple clinical score at baseline can be used for early risk stratification. NEWS2 (National Early Warning Score) is one such scoring system which was originally developed to improve detection of deterioration in acutely ill patients.[8] Therefore, the present study has been conducted to assess the effectiveness of NEWS2 in predicting critical outcomes and mortality in geriatric p

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Mason, B. W., E. D. Edwards, A. Oliver, and C. V. E. Powell. "Cohort study to test the predictability of the NHS Institute for Innovation and Improvement Paediatric Early Warning System." Archives of Disease in Childhood 101, no. 6 (2016): 552–55. http://dx.doi.org/10.1136/archdischild-2015-308465.

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ObjectiveTo test the predictability of the National Health Service Institute for Innovation and Improvement (NHSIII) Paediatric Early Warning System (PEWS) score to identify children at risk of developing critical illness.DesignCohort study.SettingAdmissions to all paediatric wards at the University Hospital of Wales between 1 December 2005 and 30 November 2006.Outcome measuresUnscheduled paediatric high dependency unit (PHDU) admission, paediatric intensive care unit (PICU) admission and death.ResultsThere were 9075 clinical observations from 1000 children. An NHSIII PEWS score of 2 or more,

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Grant, Steven. "Limitations of track and trigger systems and the National Early Warning Score. Part 1: areas of contention." British Journal of Nursing 27, no. 11 (2018): 624–31. http://dx.doi.org/10.12968/bjon.2018.27.11.624.

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Grant, Steven, and Kevin Crimmons. "Limitations of track and trigger systems and the National Early Warning Score. Part 2: sensitivity versus specificity." British Journal of Nursing 27, no. 12 (2018): 705–10. http://dx.doi.org/10.12968/bjon.2018.27.12.705.

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Zaboli, Arian, Serena Sibilio, Gloria Brigiari, et al. "Comparing the National Early Warning Score and the Manchester Triage System in Emergency Department Triage: A Multi-Outcome Performance Evaluation." Diagnostics 15, no. 9 (2025): 1055. https://doi.org/10.3390/diagnostics15091055.

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Background: Emergency department (ED) triage systems aim to prioritize patients based on clinical severity, ensuring timely intervention for high-risk cases. Recently, the National Early Warning Score (NEWS) has been proposed as an alternative to traditional triage systems, but its efficacy across multiple clinical outcomes remains unclear. This study aimed to compare the predictive performance of the NEWS and the Manchester Triage System (MTS) across multiple clinical outcomes. Methods: We conducted a retrospective, single-center study at Merano Hospital, Italy, from 1 June 2022 to 30 June 20

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Lindskou, Tim Alex, Logan Morgan Ward, Morten Breinholt Søvsø, Mads Lause Mogensen, and Erika Frischknecht Christensen. "Prehospital Early Warning Scores to Predict Mortality in Patients Using Ambulances." JAMA Network Open 6, no. 8 (2023): e2328128. http://dx.doi.org/10.1001/jamanetworkopen.2023.28128.

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ImportanceEarly warning scores (EWSs) are designed for in-hospital use but are widely used in the prehospital field, especially in select groups of patients potentially at high risk. To be useful for paramedics in daily prehospital clinical practice, evaluations are needed of the predictive value of EWSs based on first measured vital signs on scene in large cohorts covering unselected patients using ambulance services.ObjectiveTo validate EWSs’ ability to predict mortality and intensive care unit (ICU) stay in an unselected cohort of adult patients who used ambulances.Design, Setting, and Part

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Özdemir, Serdar. "Improving Clinical Decision-Making: A Focus on Early Warning Systems and Scoring Methods." Medical Science and Discovery 10, no. 6 (2023): 430–31. http://dx.doi.org/10.36472/msd.v10i6.962.

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Dear Editor, Examinations, laboratory tests, radiology, and clinical experience are required to make the most appropriate clinical decisions. There is no single universal clinical decision-making method advocated in routine medical literature. Often, this process is driven by experience, exploration, and clinical gestalt. Clinician management serves as a subjective decision tool in disease management. It has been extensively studied in the literature, particularly in entities such as pulmonary embolism, difficult airway prediction, and severe COVID-19 (1). By combining parameters such as labor

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Chelal, Daniel K., Tecla J. Sum, and Everlyne N. Morema. "Relationship between Triage Patients Related Factors and 48 Hours Outcomes at the Accident and Emergency Department, Kenyatta National Hospital." Evidence-Based Nursing Research 5, no. 3 (2023): 36–44. http://dx.doi.org/10.47104/ebnrojs3.v5i3.288.

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Context: The goal of triage is to prioritize patients who require the most urgent care and increase efficiency when resources are insufficient to treat all patients as per their degree or grade of injury. An effective and efficient emergency center triage system should be able to sort both trauma and non-trauma patients according to the level of acuity and involves treatment as per the physiological parameters, either coded as red, orange, yellow, green, or black. Kenyatta National Hospital has adopted the South African Triage Score (SATS), which has proven effective in monitoring the patient'

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Adebusoye, L. A., M. O. Owolabi, and A. Ogunniyi. "Biomarkers, shock index and modified early warning score among older medical hospital inpatients in Nigeria." South African Family Practice 61, no. 3 (2019): 78. http://dx.doi.org/10.4102/safp.v61i3.4964.

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Background: Biomarkers, shock index and modified early warning score (MEWS) are of public health importance because identification and prompt attention to them have been found to reduce mortality among older patients on admission.Objectives: A study was undertaken to determine the biomarkers, shock index and MEWS that predict mortality on admission among older medical hospital inpatients.Methods: This was a prospective study of 450 patients (≥ 60 years) on the medical wards of University College Hospital, Ibadan. Biomarkers recommended by the National Institute on Aging such as blood pressure,

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Sasmito, Priyo, Leli Mulyati, Fika Indah Prasetya, et al. "Serious adverse events and missed observations impact of limited resources of nurses based on national early warning score (NEWS)." Malahayati International Journal of Nursing and Health Science 7, no. 4 (2024): 496–507. http://dx.doi.org/10.33024/minh.v7i4.430.

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Background: Since become an obligation for hospital, Early Warning System (EWS) are widely used. National Early Warning Score (NEWS) is common EWS adopted in Indonesia. There are not many studies evaluating the implementation of the in hospitals with limited resources in Indonesia. Purpose: To analyze the NEWS performance in the medical ward at one regional hospital in Serang District, Banten Province, Indonesia. Method: Observational analytic study with retrospective approach using NEWS observation sheet of 163 medical adult patients. NEWS's performance was assessed by analyzing the amount of

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Martín-Rodríguez, Francisco, Raúl López-Izquierdo, Carlos del Pozo Vegas, et al. "A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality." Emergency Medicine International 2019 (July 1, 2019): 1–8. http://dx.doi.org/10.1155/2019/5147808.

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Aim of the Study. To evaluate the ability of the prehospital National Early Warning Score 2 scale (NEWS2) to predict early mortality (within 48 hours) after the index event based on the triage priority assigned for any cause in the emergency department. Methods. This is a multicenter longitudinal observational cohort study on patients attending Advanced Life Support units and transferred to the emergency department of their reference hospital. We collected demographic, physiological, and clinical variables, main diagnosis, and hospital triage level as well as mortality. The main outcome variab

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Tangkulpanich, Panvilai, Noraset Uppariputtanggoon, and Kasamon Aramvanitch. "The Performances of Multiple Scoring Systems to Predict Patients Required Immediate Life-Saving Intervention in Emergency Department." Ramathibodi Medical Journal 42, no. 3 (2019): 1–11. http://dx.doi.org/10.33165/rmj.2019.42.3.138690.

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Background: Crowding in emergency room is the major problem especially in the resuscitation room. Many patients require immediate life-saving interventions (LSI). Whereas, many different scoring systems such as national early warning score (NEWS), worthing physiological scoring system (WPS), modified early warning score (MEWS), and rapid emergency medicine score (REMS) have been developed for assessing patients at risk. Objective: To evaluate the effectiveness of 4 scoring systems performance in predicting LSI use in emergency room and reenter to the resuscitation room within 48 hours.&#

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Grant, Steven. "Limitations of track and trigger systems and the National Early Warning Score. Part 3: cultural and behavioural factors." British Journal of Nursing 28, no. 4 (2019): 234–41. http://dx.doi.org/10.12968/bjon.2019.28.4.234.

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Prabowo, Rio Agung, Aris Triwiyatno, and Yosua Alvin Adi Soetrisno. "PERANCANGAN DAN IMPLEMENTASI SENSOR SUHU, KELEMBABAN UDARA, KECEPATAN ANGIN DAN CURAH HUJAN PADA PROTOTYPE SISTEM PENDETEKSI DINI KEBAKARAN HUTAN DAN LAHAN." Transient: Jurnal Ilmiah Teknik Elektro 9, no. 3 (2020): 289–97. http://dx.doi.org/10.14710/transient.v9i3.289-297.

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Forest and land fire is a major problem happening in Indonesia. The impacts of these incidents are public health disruption, reduced forest economic value, and micro or global climate changes. Forest and land fire are not only happen in a local or national scale, but also on the international scale. This could be prevented if there is a detector designed to detect forest and land fire early. Therefore, a prototype system is designed to detect the fire in real-time so that this system could be an early warning by considering four climate and weather parameters and using 3 sensors which are DHT1

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Wu, Chieh-Liang, Chen-Tsung Kuo, Sou-Jen Shih, et al. "Implementation of an Electronic National Early Warning System to Decrease Clinical Deterioration in Hospitalized Patients at a Tertiary Medical Center." International Journal of Environmental Research and Public Health 18, no. 9 (2021): 4550. http://dx.doi.org/10.3390/ijerph18094550.

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The National Early Warning Score (NEWS) is an early warning system that predicts clinical deterioration. The impact of the NEWS on the outcome of healthcare remains controversial. This study was conducted to evaluate the effectiveness of implementing an electronic version of the NEWS (E-NEWS), to reduce unexpected clinical deterioration. We developed the E-NEWS as a part of the Health Information System (HIS) and Nurse Information System (NIS). All adult patients admitted to general wards were enrolled into the current study. The “adverse event” (AE) group consisted of patients who received ca

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Lin, Cheng-Fu, Pei‐Jung Chang, Hui-Min Chang, et al. "Evaluation of a Telemonitoring System Using Electronic National Early Warning Scores for Patients Receiving Medical Home Care: Pilot Implementation Study." JMIR Medical Informatics 12 (December 26, 2024): e63425-e63425. https://doi.org/10.2196/63425.

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Abstract Background Telehealth programs and wearable sensors that enable patients to monitor their vital signs have expanded due to the COVID-19 pandemic. The electronic National Early Warning Score (e-NEWS) system helps identify and respond to acute illness. Objective This study aimed to implement and evaluate a comprehensive telehealth system to monitor vital signs using e-NEWS for patients receiving integrated home-based medical care (iHBMC). The goal was to improve the early detection of patient deterioration and enhance care delivery in home settings. The system was deployed to optimize r

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Ehara, Jun, Eiji Hiraoka, Hsiang-Chin Hsu, Toru Yamada, Yosuke Homma, and Shigeki Fujitani. "The effectiveness of a national early warning score as a triage tool for activating a rapid response system in an outpatient setting." Medicine 98, no. 52 (2019): e18475. http://dx.doi.org/10.1097/md.0000000000018475.

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Shreyansh, Bardiya, Bansal Himanshu, Singh Shatakshi, and Bhatnagar Mini. "Study and Compare the Efficacy of Rapid Emergency Medicine Score (REMS) and National Early Warning Score (NEWS) in Prediction of Hospital Outcomes in Patients of Sepsis." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 932–44. https://doi.org/10.5281/zenodo.12675514.

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<strong>Background:</strong> Sepsis is the leading cause of death worldwide in critically ill patients. To predict the outcome, an early diagnosis and stratification of the severity of sepsis is important. Efficient scoring methods for early diagnosis, stratification of severity and prognostication of sepsis are critical specially in resource limited settings. Clinical scoring systems are cost effective methods which can ensure rapid identification of patients requiring critical care. <strong>Aim:</strong> The present study was done to compare the efficacy of two clinical scorin

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