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National Deteriorating Patient Recognition and Response Improvement Programme and Early Warning Systems

The National Deteriorating Patient Improvement Programme (DPIP) is a priority patient safety programme for the HSE.

Early Warning Systems (EWS) improve recognition and responses to signs of patient deterioration.

A number of EWS designed to address individual patient needs are in place in acute hospitals.

The National Clinical Effectiveness Committee Guidelines describe each Early Warning System.

Variations of EWS

Four different variations of the EWS are currently used in acute hospitals:

  • Irish National Early Warning System (INEWS) Version 2 for adults (16yrs+)
  • Irish Maternity Early Warning System (IMEWS) Version 2 for pregnant patients or up to 42 days in the postnatal period
  • Irish Paediatrics Early Warning (PEWS) System for children (<16 yrs)
  • Emergency Medicine Early Warning Systems (EMEWS) in the emergency department.

DPIP team in ONMSD

The DPIP team are working to improve and coordinate the different Early Warning Systems through:

  • the development and update of clinical guidelines by identified working groups
  • service improvement working with hospital teams to improve implementation of guidelines
  • providing education programme's for each of the EWS

Education resources for the INEWS

Related topic

Download the current NCEC Early Warning Systems Guidelines


Avilene Casey - DPIP Lead and Area Director of Nursing, ONMSD and Office of the Chief Clinical Officer

Phone: 087 968 1964

Miriam Bell - Project Officer

Phone: 051 848 696 / 087 630 0557

Serena Brophy - Service Improvement Project Lead

Phone: 087 720 3125

Programme Manager