Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 187

The NEWS was introduced around 2007, in recognition of episodes of failed care where healthcare professionals had not recognised or failed to escalate patient deterioration, or did not escalate appropriately.

The NEWS attributes point to each observation taken and collectively gives an indication of the patient’s deterioration. The total score then identifies the type and route of escalation required (National Patient Safety Agency 2007). This is often embedded and adapted to fit with the hospital’s policy and available staff and teams to escalate to.

It is important to remember that this a ‘safety net’ tool. It is not necessary to wait for a ‘trigger’ to escalate when concern about a patient is justified by assessment and clinical decision‐making.

NEWS is becoming more popular outside of hospital environments, with adaptations starting to arise in nursing homes, GP surgeries and ambulance services. The evidence‐base underpinning NEWS was developed in and for inpatient hospitals; therefore, further research is required to build evidence‐base in using NEWS outside of a hospital environment.