Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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J Hosp Med
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Editorial Comment
Problematic Trends in Observation Status for Children's Hospitals.
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The primary objective of this scoping review was to identify and describe state-of-the-art models that use vital sign monitoring to predict clinical deterioration on the general ward. The secondary objective was to identify facilitators, barriers, and effects of implementing these models. ⋯ Predictive algorithms can detect clinical deterioration on the general ward earlier and more accurately than conventional protocols, which in one recent study led to lower mortality. Consensus is needed on input variables, predictive time horizons, and definitions of endpoints to better facilitate comparative research.