title: Early Warning/Track-and-Trigger Systems to Detect Deterioration and Improve Outcomes in Hospitalized Patients.
abstract: As a global effort toward improving patient safety, a specific area of focus has been the early recognition and rapid intervention in deteriorating ward patients. This focus on "failure to rescue" has led to the construction of early warning/track-and-trigger systems. In this review article, we present a description of the data behind the creation and implementation of such systems, including multiple algorithms and strategies for deployment. Additionally, the strengths and weaknesses of the various systems and their evaluation in the literature are emphasized. Despite the limitations of the current literature, the potential benefit of these early warning/track-and-trigger systems to improve patient outcomes remains significant.
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New York, New York.
authors.forename: Ariel L
authors.initials: AL
authors.lastname: Shiloh
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New York, New York.
authors.forename: George
authors.initials: G
authors.lastname: Lominadze
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New York, New York.
authors.forename: Michelle N
authors.initials: MN
authors.lastname: Gong
authors.affiliation: Section of Surgical Critical Care, Albert Einstein College of Medicine, Maimonides Medical Center, New York, New York.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Savel
mesh_terms: D003422:Critical Care / Q000592:standards*; D018450:Disease Progression; D042241:Early Diagnosis; D000067248:Failure to Rescue, Health Care; D006801:Humans; D007297:Inpatients; D061214:Patient Safety / Q000592:standards*; D016032:Randomized Controlled Trials as Topic