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Dublin: 12 °C Wednesday 22 May, 2013

Reilly launches first ‘Early Warning Score’ for patient safety

The score is the first of the National Clinical Guidelines, and sets out how to recognise and respond to patients whose condition is deteriorating.

A NEW ‘EARLY Warning Score’ has been introduced to clearly set out how to recognise and respond to patients whose condition is rapidly deteriorating.

The announcement was made today by the Minister for Health, Dr James Reilly TD, who endorsed the system, saying that it is believed Ireland is the first country to introduce such a national scheme.

Patient safety

The early warning score is described as “an important new patient safety initiative’ and it is the first time it has been introduced in Ireland. It is for patients in acute hospitals and the HSE said it is “based on international evidence of what is known to work best”.

Dr Reilly stated “that the implementation of the National Clinical Guideline: National Early Warning Score for Ireland is a priority for the Irish health system”.

It is the first of the National Clinical Guidelines, which are to “help to further improve the quality, safety and cost-effectiveness of healthcare across Ireland”.

According to Minister Reilly:

It is clear that recognising patients whose condition is deteriorating and responding to their needs in an appropriate and timely way are essential to safe care and the launch of this National Guideline is an important patient safety initiative.

The guideline was developed through the collaborative work of frontline clinical staff, patient groups and key patient safety experts led by the Acute Medicine Programme of the HSE.

Forefront

The Minister also commended the Acute Medicine Programme in being to the forefront internationally in this patient safety initiative and on Ireland being the first known country to agree a National Early Warning Score.

The National Clinical Effectiveness Committee was established as part of the Patient Safety First initiative in September 2010 in order to provide a framework for national endorsement of clinical guidelines as well as auditing to optimise patient and service user care. The Minister thanked them for their role in this new guideline.

The guidelines themselves are described as “systematically developed statements, based on a thorough evaluation of the evidence, to assist practitioner and service users’ decisions about appropriate healthcare for specific clinical circumstances across the entire clinical system”.

More information on them can be found at http://www.patientsafetyfirst.ie/

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Comments (17 Comments)

  • LIES!!!! This is not new! EWS systems have been in place in some hospitals here for years and are practiced in all NHS hospitals too!!!

    Reply
    • My exact initial reaction! I thought I was having an out of body experience, thinking to myself “I didn’t get the memo, and as the nurse of anaesthetics, you’d have thought I’d have at least heard of it”, then it clicked… It’s not new. We’ve been using it for ages.
      Sure let him have his moment I suppose!

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    • The best way to ensure a good health service in Ireland. Move to the Min of Health’s constituency. Make sure you don’t live in the North-West or South-East because it appears to be govt policy to let you die if you live in either region.

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  • FTLOG Reilly, I think you need to check the credentials of your Spin Doctor because I’m starting to think he is not a real doctor at all.

    Reply
  • I couldn’t believe it! Of course we are not the first! I believe it was austrailia that first introduced it and now it’s evidence based thats why it’s introduced. However although it has great potential the amount of common sense used is out the window. For example a patient with a EWS score of 3 needs to be seen by a doctor within 1 hour, although if you are on oxygen, you automatically get 2 points, put an increased heart rate with that following a nebuliser (usually given to a patient with Resp illness) and there you go, your heart is broken on call reassessing these patients just because a sheet of paper tells you to, to cover your derrière and not take the clinical picture into account! I agree with it for more serious patients though.

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  • Minister Reilly is a sad looking Excuse for a Health Minister

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  • Just what I thought, more paperwork, more repetitive forms that already exist!!!! He obviously has no clue what’s going on in Irish hospitals. For the cost of putting this “new” system in place he could have actually put more nurses on the frontline to actually observe, assess and look after these deteriorating patients instead of filling out more bloody forms! Argh!

    Reply
  • This system is already in full use in Australia so it’s a bit ridiculous that James Reilly is trying to make out that Ireland is the first country to use it.

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    • Steve
      This system is in Australia but varies from Hospital to Hospital. It is certainly not a National System which the HSE has now introduced and I think everyone has missed the obvious…..this is now a system for the Standard Evaluation of Healthcare Professionals in the event of an unexpected death.
      No place to hide anymore!

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    • There wasn’t a place to hide Richard initially, shocker alert, all nurses and doctors are registered professionals. We are fully accountable for all our actions, this won’t change that.
      This isn’t about deaths, it’s about evaluating the severity of condition, which we have also been doing since forever and making sure that said condition is dealt with in an appropriate manner. This is a universal system (which has been in place here since at least June of last year).
      This “launch” is designed to make nurses and doctors here look like thick, ignorant idiots, making the main man look like he is improving quality of care, which he is not.

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    • James
      Im pleased to know that your Hospital has the System in place since last year but if you check I beleive you will find that it was not a National System as now mandated by the HSE and I believe the Minister is one hundred per cent correct in asserting his belief that Ireland is the only country where such is mandatory in every single Acute Hospital.
      Perhaps you will tell us what the issue is with the DoH/HSE Press Release today. Are you suggesting that your employers are misrepresenting facts or lying as I don’t see where the gain might be.

      Reply
    • Richard, while it is apparently only now HSE mandated, it has been in place in the majority of hospitals (if not all) since at least last June.
      The “launch” is a vendetta against staff, primarily nurses and doctors, and was released at a very opportune time so as to make nurses and doctors look like we are totally and utterly at fault for poor patient safety, which is most certainly not the case. The risks to patient safety are both systemic and personal, whether its lack of doctors and nurses, lack of hygiene facilities (sinks), lack of isolation rooms, waiting lists, etc, etc, etc.
      The above are not the fault of us, the workers, but of poor management.

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  • Will this work for the many on the trollies in the hallways

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  • What a joke.

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  • Just what I thought, more paperwork, more repetitive forms that already exist!!!! He obviously has no clue what’s going on in Irish hospitals. For the cost of putting this “new” system in place he could have put more nurses on the frontline to actually observe, assess and look after these deteriorating patients instead of filling out more bloody forms! Argh!

    Reply
  • From the comments here it is obvious that all Irish journalists need to check all information released by politicians….not accept it as gospel …or even truth !

    Reply

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