"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 Lippert; Razeen Mahroof; Jennifer S Myers; Mark J Rosen; Stuart F Reynolds; Armando Rotondi; Francesca M Rubulotta; Bradford Winters

doi:10.1016/j.resuscitation.2009.12.008

"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

Research output: Contribution to journal › Article › Research › peer-review

248 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	375 - 382
Number of pages	8
Journal	Resuscitation
Volume	81
Issue number	4
DOIs	https://doi.org/10.1016/j.resuscitation.2009.12.008
Publication status	Published - 2010
Externally published	Yes

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10.1016/j.resuscitation.2009.12.008

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DeVita, M. A., Smith, G. B., Adam, S., Adams-Pizarro, I., Buist, M., Bellomo, R., Bonello, R. S., Cerchiari, E. L., Farlow, B., Goldsmith, D., Haskell, H. W., Hillman, K., Howell, M. D., Hravnak, M. M., Hunt, E. A., Hvarfner, A., Kellett, J. G., Lighthall, G. K., Lippert, A., ... Winters, B. (2010). "Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems. Resuscitation, 81(4), 375 - 382. https://doi.org/10.1016/j.resuscitation.2009.12.008

DeVita, Michael A ; Smith, Gary B ; Adam, Sheila ; Adams-Pizarro, Inga ; Buist, Michael ; Bellomo, Rinaldo ; Bonello, Robert S ; Cerchiari, Erga L ; Farlow, Barbara ; Goldsmith, Donna ; Haskell, Helen W ; Hillman, Kenneth ; Howell, Michael D ; Hravnak, Marilyn M ; Hunt, Elizabeth A ; Hvarfner, Andreas ; Kellett, John G ; Lighthall, Geoff Kenton ; Lippert, Anne ; Lippert, Freddy Knudsen ; Mahroof, Razeen ; Myers, Jennifer S ; Rosen, Mark J ; Reynolds, Stuart F ; Rotondi, Armando ; Rubulotta, Francesca M ; Winters, Bradford. / "Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems. In: Resuscitation. 2010 ; Vol. 81, No. 4. pp. 375 - 382.

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title = "{"}Identifying the hospitalised patient in crisis{"} - A consensus conference on the afferent limb of Rapid Response Systems",

abstract = "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?",

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

year = "2010",

doi = "10.1016/j.resuscitation.2009.12.008",

language = "English",

volume = "81",

pages = "375 -- 382",

journal = "Resuscitation",

issn = "0300-9572",

publisher = "Elsevier",

number = "4",

}

DeVita, MA, Smith, GB, Adam, S, Adams-Pizarro, I, Buist, M, Bellomo, R, Bonello, RS, Cerchiari, EL, Farlow, B, Goldsmith, D, Haskell, HW, Hillman, K, Howell, MD, Hravnak, MM, Hunt, EA, Hvarfner, A, Kellett, JG, Lighthall, GK, Lippert, A, Lippert, FK, Mahroof, R, Myers, JS, Rosen, MJ, Reynolds, SF, Rotondi, A, Rubulotta, FM & Winters, B 2010, '"Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems', Resuscitation, vol. 81, no. 4, pp. 375 - 382. https://doi.org/10.1016/j.resuscitation.2009.12.008

"Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems. / DeVita, Michael A; Smith, Gary B; Adam, Sheila; Adams-Pizarro, Inga; Buist, Michael; Bellomo, Rinaldo; Bonello, Robert S; Cerchiari, Erga L; Farlow, Barbara; Goldsmith, Donna; Haskell, Helen W; Hillman, Kenneth; Howell, Michael D; Hravnak, Marilyn M; Hunt, Elizabeth A; Hvarfner, Andreas; Kellett, John G; Lighthall, Geoff Kenton; Lippert, Anne; Lippert, Freddy Knudsen; Mahroof, Razeen; Myers, Jennifer S; Rosen, Mark J; Reynolds, Stuart F; Rotondi, Armando; Rubulotta, Francesca M; Winters, Bradford.

In: Resuscitation, Vol. 81, No. 4, 2010, p. 375 - 382.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - "Identifying the hospitalised patient in crisis" - A consensus conference on the afferent limb of Rapid Response Systems

AU - DeVita, Michael A

AU - Smith, Gary B

AU - Adam, Sheila

AU - Adams-Pizarro, Inga

AU - Buist, Michael

AU - Bellomo, Rinaldo

AU - Bonello, Robert S

AU - Cerchiari, Erga L

AU - Farlow, Barbara

AU - Goldsmith, Donna

AU - Haskell, Helen W

AU - Hillman, Kenneth

AU - Howell, Michael D

AU - Hravnak, Marilyn M

AU - Hunt, Elizabeth A

AU - Hvarfner, Andreas

AU - Kellett, John G

AU - Lighthall, Geoff Kenton

AU - Lippert, Anne

AU - Lippert, Freddy Knudsen

AU - Mahroof, Razeen

AU - Myers, Jennifer S

AU - Rosen, Mark J

AU - Reynolds, Stuart F

AU - Rotondi, Armando

AU - Rubulotta, Francesca M

AU - Winters, Bradford

PY - 2010

Y1 - 2010

N2 - 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?

AB - 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?

UR - http://www.sciencedirect.com/science/article/pii/S030095720900639X

U2 - 10.1016/j.resuscitation.2009.12.008

DO - 10.1016/j.resuscitation.2009.12.008

M3 - Article

VL - 81

SP - 375

EP - 382

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

IS - 4

ER -

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

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