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    Development of an algorithm to improve on the National Early Warning Score 2 (NEWS2) system's accuracy in predicting critical outcomes using additional patient data and amendments... by Lynsey Threlfall, Chris Plummer, Edward Meinert, Cen Cong, Madison Milne-Ives

    Published 2025-07-01
    “…Introduction: The second National Early Warning Score (NEWS2) is a widely used tool for the systematic identification and documentation of clinical deterioration. It is effective at reducing in-hospital mortality,1,2 facilitates effective communication between clinicians and enables timely interventions to improve patient outcomes, but NEWS2 has limited positive and negative predictive accuracy,3 particularly in predicting adverse events beyond 24 h.4The use of digital technologies in healthcare presents an opportunity to evaluate whether the inclusion of additional routinely collected variables, and/or changes in the use of existing data, would improve the predictive accuracy of an early warning score and, thus, reduce patient risk.1,5Older adults are particularly vulnerable to sudden changes in physiological status,6 but this group was not included in the development of NEWS2.7 Improved predictive accuracy in this growing population group could significantly improve patient outcomes.8 Methods and Methods: The project is a retrospective cohort study using ∼8 years (2017–2024) of anonymised patient data from the Newcastle upon Tyne Hospitals NHS Foundation Trust (NUTH). …”
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    Digital Health Literacy in Adults With Low Reading and Writing Skills Living in Germany: Mixed Methods Study by Saskia Muellmann, Rebekka Wiersing, Hajo Zeeb, Tilman Brand

    Published 2025-05-01
    “…For participants in the 5 focus groups (total n=39; mean age 43, SD 12.6 years; n=34, 87% female), limited technical skills and language problems were the most important challenges. …”
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