Continuous Vital Sign Monitoring for Early Detection of Deterioration outside High Intensity Care Settings

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Abstract

Unnoticed patient deterioration is an important and frequent cause of in-hospital mortality. The monitoring gap, sometimes referred to as “the critical care gap,” between high-dependency units and general care wards, is well known and could potentially be bridged by new wireless sensor technology enabling continuous monitoring. In this chapter, we address the current evidence and potential benefits of continuous monitoring outside high-care facilities. What parameters should be monitored and what important characteristics of the sensor and monitoring system should be considered, as well as the complexity of implementation, are discussed.

Original languageEnglish
Title of host publicationTextbook of Rapid Response Systems
Subtitle of host publicationConcept and Implementation: Third Edition 2024
PublisherSpringer
Pages119-130
Number of pages12
ISBN (Electronic)9783031679513
ISBN (Print)9783031679506
DOIs
Publication statusPublished - 16 Jan 2025

Keywords

  • Afferent limb
  • Continuous monitoring
  • Deterioration
  • Early detection
  • Early warning scores
  • Efferent limb
  • Failure to rescue
  • General care unit
  • High-care facilities
  • Home monitoring
  • Hospital at home
  • Intensive care unit
  • Observation
  • Outcome benefits
  • Patient safety
  • Rapid response systems
  • Rapid response teams
  • Vital parameters
  • Vital signs

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