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Te Pū rauemi KOWHEORI-19 COVID-19 resource hub

Support for people working in health during the COVID-19 pandemic. Find information about how you can support yourselves and others, including consumers, teams and colleagues which complements and aligns with Ministry of Health resources.

Kia āta kōwhiri Choosing Wisely

The Choosing Wisely campaign seeks to reduce harm from unnecessary and low-value tests and treatment.

Deterioration Early Warning System – a feasibility study in aged residential care

The DEWS supports staff working in ARC to recognise when a resident may be getting acutely unwell and to respond early. It was designed in Aotearoa New Zealand specifically for staff working with older people living in care.

Te Tāhū Hauora Health Quality & Safety Commission, in collaboration with the University of Auckland, is conducting a feasibility study with six aged residential care (ARC) facilities that expressed an interest in testing the Deterioration Early Warning System (DEWS) in ARC.

The DEWS supports staff working in ARC to recognise when a resident may be getting acutely unwell and to respond early. It was designed in Aotearoa New Zealand specifically for staff working with older people living in care.

The DEWS comprises three tools that were co-designed with ARC in a research project supported by the Ageing Well National Science Challenge. It is supported by an implementation package that includes a comprehensive implementation guide, education package and measurement framework.

Te Tāhū Hauora ARC clinical lead Julie Daltrey is leading the feasibility study with Honorary Associate Professor Dr Michal Boyd (principal investigator) from the University of Auckland. Quality improvement support and project management and coordination is being provided by the improved service delivery team at Te Tāhū Hauora.

Project timeline

Planning and preparation: March 2024 to end of May 2024
  • Selected facilities are planning and preparing to test the DEWS. Te Tāhū Hauora has developed resources to help facilities prepare, including education resources and measurement tools.
Testing: June 2024 to mid-October 2024
  • Staff in each facility will begin to use the DEWS tools.
Evaluation: Mid-October to mid-December 2024

Following testing, Te Tāhū Hauora will facilitate an evaluation across the test facilities. We expect to:

  • understand the ARC view of whether DEWS can and/or should be implemented in the sector
  • refine the DEWS tools and supporting resources in line with ARC experience/feedback.
More information

As this project progresses, updates will be available on our website. You can also contact the team for more information at arc@hqsc.govt.nz.

Last updated: 23rd April, 2024