NEWS score over-reliance
16 items
2 sources
Delayed infection diagnosis due to over-reliance on National Early Warning Score (NEWS) without comprehensive assessment.
Cross-Source Insight
NEWS score over-reliance has been flagged across 2 independent accountability sources:
1 inquiry rec
15 PFD reports
This issue has been identified by multiple independent accountability bodies, suggesting it is a recurring systemic concern.
PFD Reports (15)
Della Calvey
Concerns: Unsafe practice of routinely downgrading NEWS scores for all COPD patients without knowing individual baseline saturations leads to inadequate clinical assessments.
Pending
Dhananji Dona
Concerns: The hospital failed to implement the specialist National Early Warning Score matrix for prenatal women across all departments, risking inadequate monitoring without plans for timely introduction.
Overdue
Dave Onawelo
Concerns: Inadequate monitoring of a high-risk patient with sickle cell anaemia, coupled with delayed interventions and emergency department issues like congestion and over-reliance on algorithms, contributed to a fatal outcome.
Overdue
Kay Simmonds
Concerns: Incorrect NEWS score calculation and subsequent failure to follow observation protocols led to missed recognition of a deteriorating patient, delaying senior medical review and putting lives at risk.
Responded
Tammy Watkins
Concerns: Persistent failures in physical healthcare within mental health settings, including staff not recognizing deteriorating patients, non-adherence to NEWS2 policy, and confusion in emergency call procedures, led to preventable deaths.
Responded
Alexander Braund
Concerns: There are continuous failures in applying the NEWS2 system for acutely unwell patients in a secure setting due to insufficient training, guidance, and robust compliance auditing, risking deaths from unrecognized deterioration.
Responded
Khairul Rahman
Concerns: The prison healthcare system lacks robust, accurate documentation of clinical interactions and response times. There is also an unclear and inconsistent application of the NEWS2 scoring system for monitoring patient deterioration.
Responded
Frances Gibb
Concerns: There were serious and recurring failings in the application and use of the National Early Warning Score (NEWS) system, indicating a systemic risk to patient safety.
Responded
Simon Healey
Concerns: Private hospitals' NEWS escalation policies need reviewing due to limited critical care capacity. Post-operative care for complex procedures is concerning as general ward staff may lack specific training for rare complications.
Overdue
Graham Fox
Concerns: Junior nursing staff misunderstood that clinical responses under the NEWS system were mandatory, believing discretion could be applied, despite additional training.
Responded
Alice Gibson-Watt
Concerns: A recurring failure to identify and appropriately escalate acutely physically unwell patients in mental health settings, compounded by insufficient vital sign monitoring and inconsistent use of early warning systems.
Responded
Clive Davies
Concerns: Failures in conducting routine neurological and NEWS observations, including missed checks and an incorrectly calculated score, resulted in the deceased not receiving a necessary medical review.
Overdue
June Parkes
Concerns: Significant delays occurred in urgent endoscopies due to inadequate protocols for 'in-hours' care and re-bleeds, and a lack of 'out-of-hours' emergency endoscopy/surgery. Concerns also include poor record-keeping, NEWS compliance, and doctor presence during critical transfers.
Overdue
Carla London
Concerns: Concerns were raised about the need to consider NICE guidance on late-onset sepsis in premature babies and to research infection monitoring systems to improve early detection and treatment.
Responded
Denise Prior
Concerns: Inadequate hospital record-keeping for oxygen levels, prescription, and the application of the NEWS system poses a risk of future deaths.
Responded