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Modifications to the National Early Warning Score: a scoping review protocol
Madison Milne-Ives1,2, Victoria Riccalton1, Chris Plummer1,3
1Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK.
BMJ Open
|October 9, 2024
Summary
This scoping review identifies modifications to the National Early Warning Score (NEWS/2) system to improve its accuracy in predicting patient deterioration. The findings will inform evidence-based enhancements to the NEWS/2 tool.
Area of Science:
- Clinical assessment tools
- Patient monitoring systems
Background:
- The National Early Warning Score (NEWS/2) is crucial for detecting patient deterioration but has limitations in predicting outcomes beyond 24 hours and across diverse patient groups.
- Modifications to the NEWS/2 system aim to enhance its predictive accuracy and clinical utility.
Purpose of the Study:
- To conduct a scoping review of modifications made to the NEWS and NEWS2 systems.
- To identify how incorporating additional patient demographic, physiological, or other characteristics influences predictive accuracy.
- To provide an evidence base for improving the NEWS/2 system.
Main Methods:
- Scoping review structured using PRISMA-ScR and PICO frameworks.
- Systematic search of six major databases (PubMed, ScienceDirect, Embase, CINAHL, Web of Science, Cochrane Library) in April 2024.
- Independent dual review for article screening and data extraction, with conflict resolution through discussion.
Main Results:
- Descriptive analysis summarizing identified modifications to NEWS/2.
- Evaluation of the influence of these modifications on the predictive accuracy of NEWS/2.
- Synthesis of evidence regarding the effectiveness of NEWS/2 modifications.
Conclusions:
- The review will provide a comprehensive overview of NEWS/2 modifications and their impact on predictive accuracy.
- Findings will support the development of improved early warning scoring systems.
- This evidence base is essential for enhancing patient safety and clinical outcomes through better deterioration detection.
