Trial reportCritical care (London, England)2017
Effect of an automated notification system for deteriorating ward patients on clinical outcomes.
Trial report in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 70 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Examination of the Impact of Better Surveillance and Communication of Patient Deterioration on Patient Related Outcomes (VitalCare - Guardian Version 2)
Detection of Deteriorating Patients on Peripheral Surgical Wards by an Automated Notification System
Place of Connected Tools in the Follow-up of the Bariatric Patient: Can They Allow Rapid Management of Complications and Reduce Lost of Follow-up During Postoperative Period?
Integrated Proactive Wireless Monitoring for Clinical Deterioration: A Stepped Wedge Randomized Trial
Who cites it
70 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Automated Features, Algorithms, and Technologies of Electronic Early Warning/Track-and-Trigger Systems: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Effects of Real-Time Automated Clinical Deterioration Alert and Trigger Systems on Clinical Outcomes in Adult General Ward Patients: A Systematic Review and Meta-Analysis.Critical care medicine · 2026Pooled it
- The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis.Critical care (London, England) · 2021Pooled it
- The Use of Head-Worn Displays for Vital Sign Monitoring in Critical and Acute Care: Systematic Review.JMIR mHealth and uHealth · 2021Pooled it
- Current Evidence for Continuous Vital Signs Monitoring by Wearable Wireless Devices in Hospitalized Adults: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Optimising paediatric afferent component early warning systems: a hermeneutic systematic literature review and model development.BMJ open · 2019Pooled it
- Workflow, Alarm Notification and Technology Acceptance of Continuous, Wearable-Based Vital Sign Monitoring on A Neurosurgical Ward-A Pilot Feasibility Study.Journal of neurosurgical anesthesiology · 2026Article
- Rapid response teams for new leaders: a narrative review of global evidence and implementation strategies with a focus on Japan.BMJ open quality · 2026Review
- The Usability of Continuous Monitoring Devices With Deterioration Alerting Systems in Noncritical Care Units: Scoping Review.Interactive journal of medical research · 2026Review
- Development and Evaluation of a Risk Prediction Model for Intrahospital Transport Adverse Events in Critically Ill Gynecological Patients.Risk management and healthcare policy · 2026Article
- Control Tower in the hospital: a structure-process-outcome systemic review of telemedicine systems for interprofessional collaboration.NPJ digital medicine · 2025Article
- [Early warning scores: implementation, challenges and solutions within the initiative of quality in medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- [Modified Delphi study about implementation of early warning scores].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Performance and Improvement of Track and Trigger Scores Before Rescue and Transfer in the General Care Setting.Journal of patient safety · 2025Article
- Portable wireless monitoring of vital signs in hospital wards.BJA education · 2025Review
- New sensors for the early detection of clinical deterioration on general wards and beyond - a clinician's perspective.Journal of clinical monitoring and computing · 2025Review
- Impact on Patient Outcomes of Continuous Vital Sign Monitoring on Medical Wards: Propensity-Matched Analysis.Journal of medical Internet research · 2025Article
- Effectiveness of Remote Patient Monitoring Equipped With an Early Warning System in Tertiary Care Hospital Wards: Retrospective Cohort Study.Journal of medical Internet research · 2025Article
- Implementation of a surgical ward innovation: Telemonitoring controlled by healthdot [SWITCH-trial PROTOCOL].PloS one · 2025Article
- Improving escalation of deteriorating patients through cognitive task analysis: Understanding differences between work-as-prescribed and work-as-done.International journal of nursing studies · 2024Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelayed response to clinical deterioration of ward patients is common.
methodsWe performed a prospective before-and-after study in all patients admitted to two clinical ward areas in a district general hospital in the UK. We examined the effect on clinical outcomes of deploying an electronic automated advisory vital signs monitoring and notification system, which relayed abnormal vital signs to a rapid response team (RRT).
resultsWe studied 2139 patients before (control) and 2263 after the intervention. During the intervention the number of RRT notifications increased from 405 to 524 (p = 0.001) with more notifications triggering fluid therapy, bronchodilators and antibiotics. Moreover, despite an increase in the number of patients with "do not attempt resuscitation" orders (from 99 to 135; p = 0.047), mortality decreased from 173 to 147 (p = 0.042) patients and cardiac arrests decreased from 14 to 2 events (p = 0.002). Finally, the severity of illness in patients admitted to the ICU was reduced (mean Acute Physiology and Chronic Health Evaluation II score: 26 (SD 9) vs. 18 (SD 8)), as was their mortality (from 45% to 24%; p = 0.04).
conclusionsDeployment of an electronic automated advisory vital signs monitoring and notification system to signal clinical deterioration in ward patients was associated with significant improvements in key patient-centered clinical outcomes.
trial registrationClinicalTrials.gov, NCT01692847 . Registered on 21 September 2012.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.