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Article dans une revue

Improving detection of patient deterioration in the general hospital ward environment

Abstract : 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.
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https://hal.umontpellier.fr/hal-01796204
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Soumis le : dimanche 10 mai 2020 - 15:00:22
Dernière modification le : jeudi 4 juin 2020 - 10:24:09

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2018 Vincent et al., Improving...
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Jean-Louis Vincent, Sharon Einav, Rupert Pearse, Samir Jaber, Peter Kranke, et al.. Improving detection of patient deterioration in the general hospital ward environment. European Journal of Anaesthesiology, Lippincott, Williams & Wilkins, 2018, 35 (5), pp.325-333. ⟨10.1097/EJA.0000000000000798⟩. ⟨hal-01796204⟩

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