Make vital signs great again - A call for action

被引:70
作者
Kellett, John [1 ]
Sebat, Frank [2 ]
机构
[1] Hosp South West Jutland, Dept Emergency Med, Esbjerg, Denmark
[2] Mercy Med Ctr, Fac Internal Med, Redding, CA USA
关键词
Vital signs; Failure to rescue; Early warning scores; Quality of care; Patient safety; EARLY WARNING SCORE; RESTING HEART-RATE; IN-HOSPITAL MORTALITY; DETECTING CLINICAL DETERIORATION; VENTRICULAR SYSTOLIC DYSFUNCTION; ORGAN FAILURE ASSESSMENT; RESPIRATORY RATE; INTENSIVE-CARE; CARDIAC-ARREST; PROGNOSTIC IMPLICATIONS;
D O I
10.1016/j.ejim.2017.09.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Vital signs are the simplest, cheapest and probably the most important information gathered on patients in hospital. In this narrative review we present a large amount of evidence that vital signs are currently little valued, not regularly or accurately recorded, and frequently not acted on appropriately. It is probable that few hospitals would keep their accreditation with regulatory bodies if they collected and acted on their laboratory results in the same way that they collect and act on vital signs. Professional societies and regulatory bodies need to address this issue: if vital signs were more accurately and frequently measured, and acted on promptly and appropriately hospital care would be safer, better and cheaper. (C) 2017 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:13 / 19
页数:7
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