National Early Warning Scores NEWS 2 Survey March

  • Slides: 23
Download presentation
National Early Warning Scores (NEWS 2) Survey – March 2019: Yorkshire and Humber

National Early Warning Scores (NEWS 2) Survey – March 2019: Yorkshire and Humber

 • NEWS is a tool developed by the Royal College of Physicians to

• NEWS is a tool developed by the Royal College of Physicians to improve the detection and response to clinical deterioration in adult patients and is a key element of patient safety and improving patient outcomes. • In December 2017, an updated version of NEWS, NEWS 2 was published. • NEWS 2 has been endorsed by NHS England NHS Improvement for use in acute and ambulance settings. • In April 2018 a resource alert was issued to support providers to adopt the revised National Early Warning Score (NEWS 2) to detect deterioration in adult patients. • Deterioration is a key priority for NHS Improvement - the Patient Safety Collaboratives are supporting improvements including the adoption and testing of NEWS 2

ØA NEWS survey carried out in November 2017 (for acute trusts) and April 2018

ØA NEWS survey carried out in November 2017 (for acute trusts) and April 2018 (for Ambulance Trust) revealed the following: ØResponse rate: 100% (10 out of 10) of Ambulance Trust and 87% (127 out of 145) of acute trusts responded to the NEWS survey Ø 100% of Ambulance Trust were using NEWS § With 80% using NEWS across the whole organisation Ø 65% of acute trusts were using NEWS § With 14% having adapted NEWS § 20% were using other EWS ØA NEWS 2 Survey was carried out in March 2019 to assess the extent of adoption of NEWS 2, use of communication and escalation tools and to capture any challenges associated with implementation or use. ØResponse rate: 100% (10 out of 10) of the Ambulance Trust and 97% (140 out the 145) of the acute trusts responded to the NEWS 2 survey.

This presentation contains: ØHeadline results of the 2019 survey from a PSC view point

This presentation contains: ØHeadline results of the 2019 survey from a PSC view point ØSurvey results have been anonymised and the original data is available from the Patient Safety Measurement Unit

NB: The above response rates are only for the acute and Ambulance Trust within

NB: The above response rates are only for the acute and Ambulance Trust within the fifteen PSC geographies

Ø The local ambulance trust is using NEWS 2 as its EWS

Ø The local ambulance trust is using NEWS 2 as its EWS

Ø NEWS 2 is not expected to be adapted or modified in any way.

Ø NEWS 2 is not expected to be adapted or modified in any way. Ø The local ambulance trust is using NEWS 2 as intended without modification. Ø 6 out of 7 (86%) of acute trusts are also using NEWS 2 as intended without any modification as shown in No the chart above. Ø Only 1 out of 7 (14%) acute trusts has made the following adjustment to NEWS 2: • local response algorithm & scope for individualised monitoring and escalation plan as well as physiological parameters and targets e. g. new sats scale (90 -94%) following Lancet publication

No Ø The majority of acute trusts implemented NEWS 2 in February 2019 Ø

No Ø The majority of acute trusts implemented NEWS 2 in February 2019 Ø The local ambulance trust did not specify the month in which they implemented NEWS 2 Ø 7 out of 7 (100%) acute trusts implemented NEWS 2 in full. Ø The ambulance trust partially implemented NEWS 2 in A&E

No Ø Electronic and a mix of both implementations of NEWS 2 were reported

No Ø Electronic and a mix of both implementations of NEWS 2 were reported by the most of the acute trusts and the ambulance trust respectively Ø The least popular implementation of NEWS 2 in the acute sector was paper-based.

No • Electronic NEWS 2 systems being used by the 3 acute trusts who

No • Electronic NEWS 2 systems being used by the 3 acute trusts who are Cerner, Patient track, Nerve Centre and Cerner Millennium EPR

No

No

No Ø 3 out of the 7 (43%) acute trusts that have implemented NEWS

No Ø 3 out of the 7 (43%) acute trusts that have implemented NEWS 2 experienced challenges related to training, clinical concerns and information technology Ø The local ambulance trust said it experienced all three challenges in its implementation of NEWS 2

No Ø Key themes detailed above include Training and communication 10% (3 acute trusts

No Ø Key themes detailed above include Training and communication 10% (3 acute trusts out of 7), Smooth transition from NEWS 29% (2 trusts out of the 7), Teamwork 14% (1 of the 7 trusts), Leadership and management 14%(1 of the 7 trusts) Ø The ambulance trust did not respond to this question

Ø 4 out of the 11 trusts that responded to the survey said they

Ø 4 out of the 11 trusts that responded to the survey said they had not yet moved to NEWS 2 but all of them (100%) are planning to implement NEWS 2 Ø 2 of the 4 trusts were planning to implement NEWS 2 in March and the remaining 2 would implement NEWS 2 in April 2019 Ø 3 out of these 4 trusts mentioned that there were risks/challenges to going live with NEWS 2. 2 of these risks are detailed below: No

Ø The ambulance trust’s policy on acute deterioration includes two structured communication tools: q

Ø The ambulance trust’s policy on acute deterioration includes two structured communication tools: q ATMIST q SBAR Ø 9 out of the 11 (82%) acute trusts that responded to the survey said they have a policy on acute deterioration. The other 2 did not respond to this question. Ø 9 out of these 9 (100%) acute trusts include the following structured communication tool No on acute deterioration: in their policies q SBAR

No

No

No Ø No further information was provided by the ambulance trust

No Ø No further information was provided by the ambulance trust

Ø The results should be used for learning and improvement Ø Ongoing analysis of

Ø The results should be used for learning and improvement Ø Ongoing analysis of the NEWS 2 2019 survey data Ø Full analysis is available on the PSMU website

Thanks to NEWS 2 Champions for helping to gather responses If you have any

Thanks to NEWS 2 Champions for helping to gather responses If you have any questions or queries then please send them to local. contact@ahsn. net If you have any specific queries with regard to the data or would like to request any further analysis please contact psmu. improvement@nhs. net