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. 2018 Aug 10;7(3):e000088. doi: 10.1136/bmjoq-2017-000088

Table 2.

Summary of the alert-generating frameworks, associated labels and rules

Framework Label of the framework Rules of the framework
1 Conservative (minimum number of alerts)
  • No alerts for a movement into a lower risk level.

  • Blocking: assuming no increases to a higher risk level, no alerts after the initial alert for high risk as long as the patients remain in same risk level.

  • No alerts for low and medium risk levels.

  • No blocking in critical risk level.

2 Intermediate (intermediate number of alerts)
  • No alerts for a movement into a lower risk level.

  • Blocking: (i) no alerts after the initial alert for high risk level as long as the patients remain in the same risk level; (ii) no alerts after the initial alert for medium risk level as long as the patient remains in medium risk with delta <4 or moves between low risk with CEWS 6–9 and delta<4 and medium risk levels.

  • No blocking in critical risk level.

3 Liberal (maximum number of alerts)
  • No alerts for a movement into a lower risk level.

  • Blocking: (i) no alerts after the initial alert for high risk levels as long as the patients remain in the same risk level; (ii) no alerts after the initial alert for medium risk level as long as the patient remains in medium risk with delta <4 or moves between low risk with CEWS 6–9 and delta <4 and medium risk levels, (iii) no alerts after the initial alert for low risk as long as the patient remains in low risk level.

  • No blocking in critical risk level.