"Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems

Michael A DeVita, Gary B Smith, Sheila Adam, Inga Adams-Pizarro, Michael Buist, Rinaldo Bellomo, Robert S Bonello, Erga L Cerchiari, Barbara Farlow, Donna Goldsmith, Helen W Haskell, Kenneth Hillman, Michael D Howell, Marilyn M Hravnak, Elizabeth A Hunt, Andreas Hvarfner, John G Kellett, Geoff Kenton Lighthall, Anne Lippert, Freddy Knudsen LippertRazeen Mahroof, Jennifer S Myers, Mark J Rosen, Stuart F Reynolds, Armando Rotondi, Francesca M Rubulotta, Bradford Winters

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248 Citations (Scopus)


Most reports of Rapid Response Systems (RRS) focus on the efferent, response component of the system, although evidence suggests that improved vital sign monitoring and recognition of a clinical crisis may have outcome benefits. There is no consensus regarding how best to detect patient deterioration or a clear description of what constitutes patient monitoring. Methods: A consensus conference of international experts in safety, RRS, healthcare technology, education, and risk prediction was convened to review current knowledge and opinion on clinical monitoring. Using established consensus procedures, four topic areas were addressed: (1) To what extent do physiologic abnormalities predict risk for patient deterioration? (2) Do workload changes and their potential stresses on the healthcare environment increase patient risk in a predictable manner? (3) What are the characteristics of an ?ideal? monitoring system, and to what extent does currently available technology meet this need? and (4) How can monitoring be categorized to facilitate comparing systems?
Original languageEnglish
Pages (from-to)375 - 382
Number of pages8
Issue number4
Publication statusPublished - 2010
Externally publishedYes

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