Improving detection of patient deterioration in the general hospital ward environment.
Autor: Vincent, Jean Louis; Einav, Sharon; Pearse, Rupert; Jaber, Samir; Kranke, Peter; Overdyk, Frank J.; Whitaker, David K.; Gordo Vidal, Federico; Dahan, Albert; Hoeft, Andreas
Resumen: Patient 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.
Identificador universal: http://hdl.handle.net/10641/1450
Fecha: 2018
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- MEDICINA [816]