Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov;22(6):509-513.
doi: 10.7861/clinmed.2022-0435.

Using NEWS2: an essential component of reliable clinical assessment

John Welch  1 , John Dean  2 , Jillian Hartin  3
Affiliations

Using NEWS2: an essential component of reliable clinical assessment

John Welch et al. Clin Med (Lond). 2022 Nov.

Abstract

The National Early Warning Score 2 (NEWS2) is the established track and trigger system to assess illness severity and risk of deterioration for patients in acute episodes of care in the UK. It is also increasingly used internationally. In this article, we outline established and recommended practice for initial and ongoing assessment. We also highlight where practice may not meet these standards, how the full context and assessment of the patient is paramount, and opportunities for more accurate assessment in the future.

Keywords: NEWS2; clinical assessment; deterioration; monitoring.

PubMed Disclaimer

References

    1. Smith GB, Prytherch DR, Meredith P, Schmidt PE, Featherstone PI. The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation 2013;84:465–70. - PubMed
    1. Churpek MM, Snyder A, Han X, et al. . Quick Sepsis-related Organ Failure Assessment, systemic inflammatory response syndrome, and early warning scores for detecting clinical deterioration in infected patients outside the intensive care unit. Am J Respir Crit Care Med 2017;195:906–11. - PMC - PubMed
    1. Pullyblank A, Tavaré A, Little H, et al. . Implementation of the National Early Warning Score in patients with suspicion of sepsis: evaluation of a system-wide quality improvement project. Br J Gen Pract 2020;70:e381–8. - PMC - PubMed
    1. Scott LJ, Redmond NM, Tavaré A, et al. . Association between National Early Warning Scores in primary care and clinical outcomes: an observational study in UK primary and secondary care. Br J Gen Pract 2020;70:e374–80. - PMC - PubMed
    1. Prytherch DR, Smith GB, Schmidt PE, Featherstone PI. ViEWS–Towards a national early warning score for detecting adult inpatient deterioration. Resuscitation 2010;81:932–7. - PubMed