1. POTTS © 2005 MORECAMBE BAY HOSPITALS NHS TRUST. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright holder.

3. “An early warning scoring system is designed to measure the patient’s routine physiological observations, thus providing an indication of the overall status of the patient’s condition and acting as a reliable indicator of impending and actual critical illness.” Odell et al 2002

6. Roll out EWSS Dec 02 - ad hoc Outreach service June 04 - repeat 2003 Audit Feedback from wards Legionnaires ’ Outbreak - Aug 02 Feb 02 - Pilot EWSS on 11 wards across Trust Jan 03 - New (pink) EWSS chart Nov 03 - Trust- wide Audit – Obs & EWS quality Emergency measure April 04 - full time Outreach June 04 - Link Nurses’ & Staff questionnaire

7. Roll out EWSS Dec 02 - ad hoc Outreach service June 04 - repeat 2003 Audit Feedback from wards Legionnaires ’ Outbreak - Aug 02 Feb 02 - Pilot EWSS on 11 wards across Trust Jan 03 - New (pink) EWSS chart Nov 03 - Trust- wide Audit – Obs & EWS quality Emergency measure April 04 - full time Outreach June 04 - Link Nurses’ & Staff questionnaire Aug 03 - Errors & ambiguities Nov 02 - research project starts

8. Roll out EWSS Dec 02 - ad hoc Outreach service June 04 - repeat 2003 Audit Feedback from wards Legionnaires ’ Outbreak - Aug 02 Feb 02 - Pilot EWSS on 11 wards across Trust Jan 03 - New (pink) EWSS chart Nov 03 - Trust- wide Audit – Obs & EWS quality Emergency measure April 04 - full time Outreach June 04 - Link Nurses’ & Staff questionnaire Aug 03 - Errors & ambiguities Nov 02 - research project starts July 04 - Recommendation s

9. Sept 04 - chart steering group Jan 05 - New POTTS chart and folder trialled on 2 wards POTTS June 05 – Introduction of new chart trust wide in a staged rollout Aug 04 - Presentation to Acute Care Delivery Group Audit feedback Link Nurse feedback Research feedback Audit feedback June 04 - repeat 2003 Audit July 04 - Recommendation s

13. 18 26

14. 71 140 62 99 105 110