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dc.contributor.authorVincent, Jean Louis
dc.contributor.authorEinav, Sharon
dc.contributor.authorPearse, Rupert
dc.contributor.authorJaber, Samir
dc.contributor.authorKranke, Peter
dc.contributor.authorOverdyk, Frank J.
dc.contributor.authorWhitaker, David K.
dc.contributor.authorGordo Vidal, Federico 
dc.contributor.authorDahan, Albert
dc.contributor.authorHoeft, Andreas
dc.date.accessioned2018-02-28T10:05:51Z
dc.date.available2018-02-28T10:05:51Z
dc.date.issued2018
dc.identifier.issn1365-2346spa
dc.identifier.urihttp://hdl.handle.net/10641/1450
dc.description.abstractPatient monitoring on low acuity general hospital wards is currently based largely on intermittent observations and measurements of simple variables, such as blood pressure and temperature, by nursing staff. Often several hours can pass between such measurements and patient deterioration can go unnoticed. Moreover, the integration and interpretation of the information gleaned through these measurements remains highly dependent on clinical judgement. More intensive monitoring, which is commonly used in peri-operative and intensive care settings, is more likely to lead to the early identification of patients who are developing complications than is intermittent monitoring. Early identification can trigger appropriate management, thereby reducing the need for higher acuity care, reducing hospital lengths of stay and admission costs and even, at times, improving survival. However, this degree of monitoring has thus far been considered largely inappropriate for general hospital ward settings due to device costs and the need for staff expertise in data interpretation. In this review, we discuss some developing options to improve patient monitoring and thus detection of deterioration in low acuity general hospital wards.spa
dc.language.isoengspa
dc.publisherEuropean journal of anaesthesiologyspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectPatient deteriorationspa
dc.titleImproving detection of patient deterioration in the general hospital ward environment.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent1282 KBspa


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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España