Threshold NEWS2 | Index-NEWS2 Alert rate/100 patients/post-admission day | WTE clinician/100 occupied beds to respond to Index NEWS2 at threshold | All-NEWS2 Alert rate/100 patients/postadmission day | WTE clinician /100 occupied beds to respond to all NEWS2 at threshold | Highest-NEWS2 Alert rate/100 patients/postadmission day | WTE clinician/100 occupied beds to respond to highest NEWS2 at threshold |
≥1 | 71.5 | 14.8 | 335.4 | 69.6 | 91.4 | 19.0 |
≥2 | 39.2 | 8.1 | 202.3 | 41.9 | 64.5 | 13.4 |
≥3 | 20.8 | 4.3 | 117.6 | 24.4 | 39.6 | 8.2 |
≥4 | 10.4 | 2.2 | 65.3 | 13.6 | 22.1 | 4.6 |
≥5 or single=3 | 8.4 | 1.7 | 52.9 | 11.0 | 19.3 | 4.0 |
≥5 | 5.3 | 1.1 | 37.6 | 7.8 | 12.3 | 2.6 |
≥6 | 2.8 | 0.6 | 22.2 | 4.6 | 7.1 | 1.5 |
≥7 | 1.5 | 0.3 | 12.9 | 2.7 | 4.1 | 0.9 |
≥8 | 0.8 | 0.2 | 7.6 | 1.6 | 2.5 | 0.5 |
≥9 | 0.4 | 0.1 | 4.4 | 0.9 | 1.5 | 0.3 |
≥10 | 0.2 | <0.1 | 2.4 | 0.5 | 0.9 | 0.2 |
The alert rate is the number of NEWS2 scores that reach threshold per 100 patients per postadmission day. NEWS2 score were analysed from day 1 to day 56 of admission, excluding the first day of elective admission. Index-NEWS2 reports the first NEWS2 recorded in each post-admission day. All-NEWS2 includes all scores recorded in the admission spell. Highest-NEWS2 reports the highest score recorded in each post-admission day. The WTE clinician resource required to service clinical response recommendations at different thresholds, assumed 1 hour per deployed response and an annual clinician workload=1760 hours. NEWS2 were excluded from analysis in the presence of a DNACPR decision or when the patient was on ICU.
DNACPR, do-not-attempt-cardiopulmonary-resuscitation; ICU, intensive care unit; NEWS2, National Early Warning Score 2; WTE, whole time equivalent.