Table 2

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

FrameworkLabel of the frameworkRules of the framework
1Conservative (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.

2Intermediate (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.

3Liberal (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.