TY - JOUR AU - O’Neill, S. M. AU - Clyne, B. AU - Bell, M. AU - Casey, A. AU - Leen, B. AU - Smith, S. M. AU - Ryan, M. AU - O’Neill, M. PY - 2021 DA - 2021/01/28 TI - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation JO - BMC Emergency Medicine SP - 15 VL - 21 IS - 1 AB - Early warning systems (EWSs) are used to assist clinical judgment in the detection of acute deterioration to avoid or reduce adverse events including unanticipated cardiopulmonary arrest, admission to the intensive care unit and death. Sometimes healthcare professionals (HCPs) do not trigger the alarm and escalate for help according to the EWS protocol and it is unclear why this is the case. The aim of this qualitative evidence synthesis was to answer the question ‘why do HCPs fail to escalate care according to EWS protocols?’ The findings will inform the update of the National Clinical Effectiveness Committee (NCEC) National Clinical Guideline No. 1 Irish National Early Warning System (INEWS). SN - 1471-227X UR - https://doi.org/10.1186/s12873-021-00403-9 DO - 10.1186/s12873-021-00403-9 ID - O’Neill2021 ER -