Clinical Scorecard: Evaluation of Clinical Monitoring Technologies in Non-ICU Hospital Environments: A Systematic Review and Bayesian Network Meta-Analysis of Randomized Controlled Trials

At a Glance

Key Highlights

• Failure to identify clinical deterioration can lead to preventable morbidity and mortality.
• Physiological abnormalities can precede serious events by several hours.

Guideline-Based Recommendations

Diagnosis

• Utilize surveillance strategies to detect clinical deterioration.

Management

• Implement rule-based, predictive model-based, or continuous monitoring strategies.

Monitoring & Follow-up

• Assess short-term mortality and unplanned ICU transfers as primary outcomes.

Risks

• Interpretation of studies may be hindered by differences in clinical settings and outcome definitions.

Patient & Prescribing Data

Patients treated in emergency departments, acute admission areas, general medical or surgical wards, stroke units, or step-down units.

Surveillance strategies should be designed to detect or convey risk of clinical deterioration.

Clinical Best Practices

• Ensure reliable detection and communication of clinical deterioration.
• Adopt a comprehensive approach to clinical surveillance encompassing data acquisition and response.
• Evaluate the effectiveness of surveillance strategies in the context of their implementation.

Related Resources & Content

• Devita et al. 2006
• Lyons et al. 2018
• Greenhalgh et al. 2017
• Gerry et al. 2020
• Areia et al. 2021