title: Recognition of clinical deterioration: a clinical leadership opportunity for nurse executive.
abstract: Recognition and avoidance of further clinical deterioration can be termed a critical success factor in every care delivery model. As care resources become more constrained and allocated to the most critical of patients, some patients are being shifted to less intense and costly care settings where continuous physiologic monitoring may not be an option. Nurse executives are facing these complex issues as they work with clinical experts to develop systems of safety in the patient care arena. A systematic review of the literature related to the recognition of clinical deterioration is needed to identify areas for further leadership, research, and practice advancements.
authors.affiliation: University of Kentucky Healthcare, Lexington 40536, USA. chswar2@email.uky.edu
authors.forename: Colleen
authors.initials: C
authors.lastname: Swartz
mesh_terms: D056902:Clinical Alarms / Q000592:standards / Q000639:trends; D003142:Communication; D003363:Cost Control / Q000379:methods; D016206:Databases, Bibliographic; D057209:Hospital Rapid Response Team / Q000592:standards* / Q000639:trends; D006801:Humans; D007857:Leadership; D008991:Monitoring, Physiologic / Q000451:nursing / Q000592:standards; D009718:Nurse Administrators; D061214:Patient Safety / Q000592:standards*; D019555:Physician-Nurse Relations; D012151:Resuscitation / Q000451:nursing / Q000592:standards* / Q000639:trends