Early detection, prevention, and mitigation of critical illness outside intensive care settings

摘要: Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed address such deterioration. It has not been possible establish that RRTs employing manual detection methods definitively improved hospital outcomes. Because of this, automated early systems based on data from modern electronic medical records developed. This article attempts a conceptual framework for detection, prevention, mitigation critical illness in hospitalized patients ICU. Taking step back now voluminous clinical statistical literature warning systems, this focuses definitional issues (What is detection? What does it aim detect, how?). Particular attention given how interface with near end life. Also addressed problems one quantifies benefit, which includes consideration downsides as potential harms detection. Journal Hospital Medicine 2016;11:S5-S10. © 2016 Society Medicine.