Recognition of Acute Deterioration
Identifying Attributes
Care Settings
Hospital Care
Country
Scotland
Publishing Organisation
Scottish Patient Safety Programme (SPSP) Acute Adult
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Emergency Care
Defining Attributes
Definition
Percentage compliance with correct frequency of observations using the National Early Warning Score (NEWS) 2. The NEWS2 augments clinical judgement in the identification of acutely ill and deteriorating patients.
Numerator
The number of patients with the last 5 NEWS2 observations performed at the correct frequency as per local policy.
Denominator
The total number of patients in sample
Exclusions
Patients admitted < 24 hours.
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Electronic/paper chart records
Data Collection Methods
NEWS2 chart
Frequency of Data Collection
Monthly
Frequency of Data Collection in Days
30
Reporting Methods
Discovery online management information system
Reporting Frequency
Monthly
Reporting Frequency in Days
30
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
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Date Modified 02 December 2025