{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T22:28:56Z","timestamp":1786487336026,"version":"build-2736575974"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1640","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The Deterioration Early Warning System (DEWS) is a unique process, co-designed and developed in New Zealand, to support\nresidential aged care (RAC) staff in the timely identification of, and response to, acute deterioration. This study aimed to test the\neffectiveness of DEWS and the feasibility of its implementation within the RAC sector.\nmethod: This type 2 feasibility-implementation study was planned and evaluated in line with the Reach, Effectiveness, Adoption,\nImplementation, and Maintenance (RE-AIM) framework. Focus group semi-structured interviews were conducted and template\nthematic analysis was undertaken to provide descriptive and interpretive data themes.\nresults: Findings from this study support DEWS as an effective process for the timely identification of, and response to, acute\ndeterioration in people living in care. Implementation was found to be feasible, with participants recommending the system\u2019s\nadoption across the RAC sector.\nconclusion: Participants recommended DEWS to the RAC sector for its capacity to support the multidisciplinary team with the timely\nidentification of and response to acute deterioration. However, future implementation of DEWS is contingent on digitalisation and\nintegration within existing information technology infrastructure.<\/jats:p>","DOI":"10.26635\/6965.7467","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:50:14Z","timestamp":1786485014000},"page":"63-79","source":"Crossref","is-referenced-by-count":0,"title":["The Deterioration Early Warning System for aged residential care: a feasibility study with qualitative analysis"],"prefix":"10.26635","volume":"139","author":[{"given":"Julie","family":"Daltrey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Boyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqualine","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Pola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,8,14]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:50:16Z","timestamp":1786485016000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1640\/the-deterioration-early-warning-system-for-aged-residential-care-a-feasibility-study-with-qualitative-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":0,"journal-issue":{"issue":"1640","published-online":{"date-parts":[[2026,8,14]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7467","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]}}}