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Crit Care Clin. 2018 Apr;34(2):189-198. doi: 10.1016/j.ccc.2017.12.001. Epub 2018 Jan 8.

The Afferent Limb of Rapid Response Systems: Continuous Monitoring on General Care Units.

Author information

1
Department of Anesthesiology, The Geisel School of Medicine at Dartmouth, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. Electronic address: andreas.h.taenzer@dartmouth.edu.
2
Department of Anesthesiology, The Geisel School of Medicine at Dartmouth, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.

Abstract

The prevention of adverse events continues to be the focus of patient safety work. Although rapid response systems have improved the efferent limb of the patient's rescue, the detection of the patient's deterioration (the afferent limb) has not been solved. This article provides an overview of the complex issues surrounding patient surveillance by addressing the principal considerations of continuous monitoring as they relate to implementation, choice of sensors and physiologic variables, notification, and alarm balancing, as well as future research opportunities.

KEYWORDS:

Alarm management; Continuous monitoring; Physiologic sensors; Rapid response systems

PMID:
29482899
DOI:
10.1016/j.ccc.2017.12.001
[Indexed for MEDLINE]

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