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Journal Article > Commentary
Edworthy J, Hellier E. Qual Saf Health Care. 2005;14:212-215.
The authors outline problems with auditory alarms and suggest solutions to these problems.
In: On the State of the Public Health: Annual Report of the Chief Medical Officer 2004. London, England: Department of Health; 2005.
This chapter analyzes compliance with National Health Service patient safety alerts, as outlined in An Organization with a Memory, in four risk areas and makes recommendations for improving compliance.
BBC News. August 9, 2005.
This article reports on a prototype electronic wristband that checks medications against a patient's prescription.
Journal Article > Review
Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.
Gao H, McDonnell A, Harrison DA, et al. Intensive Care Med. 2007;33:667-79.
Rapid response teams are being widely implemented in hospitals worldwide. These teams are summoned to evaluate patients who meet specific clinical "triggers" (e.g., abnormal vital signs). This systematic review evaluated the ability of such triggers to accurately identify inpatients whose clinical condition is deteriorating. The false-negative rate of commonly used triggers was relatively high, meaning that a significant proportion of acutely unstable patients would not be identified by such criteria. This problem was noted in a prior negative study of rapid response teams. The authors recommend further research to determine the combination of triggers that most accurately identifies clinical instability.