Project identity
Governance and audit scope
- Project title
- NEWS2 Escalation Audit
- Organisation
- Demo NHS Trust
- Site
- Demo General Hospital
- Department / ward / unit
- Acute Medical Unit
- Specialty / pathway
- Acute Internal Medicine
- Audit cycle
- Baseline · Cycle 1
- Audit period
- 2026-05-01 → 2026-06-30
- Planned sample size
- 60
- Compliance target
- 90%
Project team leads
Editable in the Team tab
- Audit lead
- Dr A. Clinician
- Senior clinical sponsor
- Dr S. Consultant
- Nursing lead
- Sr J. Ward
- Critical care outreach lead
- ACP L. Outreach
- Governance / QI lead
- Ms G. Quality
Local policy and targets
Referenced for compliance judgements
- Local NEWS2 policy
- Trust NEWS2 Policy v4.2
- Deteriorating patient policy
- Deteriorating Adult Patient Policy v3.1
- Escalation pathway
- Trust NEWS2 Escalation Ladder
- CCOT referral criteria
- CCOT Referral Criteria v2.0
- Target time for clinical review
- 30 minutes
- Target time for repeat observations
- 60 minutes
- EPR / observation system
- Trust EPR · Observations Module
- Record type
- Electronic
- Data collection mode
- Retrospective
Scope
Wards, groups and NEWS2 trigger categories included
Selected wards / units
AMU A
AMU B
Ward 12
Ward 21
SDEC
Patient groups
Adult inpatients ≥16 with documented NEWS2 trigger
NEWS2 trigger groups
Low-medium (NEWS2 5–6)
High (NEWS2 ≥7)
Individual parameter score of 3
Inclusion and exclusion
Applied at data collection
Inclusion
- Adults aged 16 years or older (unless locally adapted).
- Patients with a documented NEWS2 score during the audit period.
- NEWS2 score meeting local escalation criteria.
- Patients on selected wards, units, departments or pathways.
- Electronic, paper or hybrid records depending on local setup.
Exclusion / limitations
- Paediatric and obstetric patients (unless locally adapted).
- Patients where NEWS2 was not applicable under local policy.
- Duplicate records or records outside the audit period.
- Records unavailable for review or lacking governance approval.
- Do not enter direct patient identifiers.
Custom data collection fields
Add local fields for this audit. Fields appear on the Data Collection form.
No custom fields yet
Add local fields to capture information your organisation needs alongside the standard NEWS2 escalation criteria.
Governance reminder
Lazomis QI standing statement
Lazomis QIP supports quality improvement, audit and governance activity. It does not replace clinical judgement, professional responsibility, local policy or organisational governance processes. Urgent deterioration must always be escalated through local pathways.