Emergency Department Abnormal Vital Sign “Triggers” Program Improves Time to Therapy

Can an emergency department clinical "triggers" program based on abnormal vital signs improve patient outcomes?

BACKGROUND Because abnormal vital signs indicate the potential for clinical deterioration, it is logical to make emergency physicians immediately aware of those patients who present with abnormal vital signs. OBJECTIVES To determine if a clinical triggers program in the emergency department (ED) setting that utilized predetermined abnormal vital signs to activate a rapid assessment by an emer...

Can an emergency department clinical "triggers" program based on abnormal vital signs improve patient outcomes? - CORRIGENDUM.

Analysis of a data-fusion system for continuous vital sign monitoring in an emergency department.

OBJECTIVE The aim of the study was to evaluate the ability of a data-fusion patient status index (PSI) to detect patient deterioration in the emergency department (ED) in comparison with track-and-trigger (T&T). MATERIALS AND METHODS A single-centre observational cohort study was conducted in a medium-sized teaching hospital ED. Vital sign data and any documented T&T scores (paper T&T) were c...

Pediatric Vital Sign Distribution Derived From a Multi-Centered Emergency Department Database

Background We hypothesized that current vital sign thresholds used in pediatric emergency department (ED) screening tools do not reflect observed vital signs in this population. We analyzed a large multi-centered database to develop heart rate (HR) and respiratory rate centile rankings and z-scores that could be incorporated into electronic health record ED screening tools and we compared our d...

Pediatric Patients Discharged from the Emergency Department with Abnormal Vital Signs

INTRODUCTION Children often present to the emergency department (ED) with minor conditions such as fever and have persistently abnormal vital signs. We hypothesized that a significant portion of children discharged from the ED would have abnormal vital signs and that those discharged with abnormal vital signs would experience very few adverse events. METHODS We performed a retrospective chart...