University of Kentucky Healthcare, Lexington 40536, USA.
J Nurs Adm. 2013 Jul-Aug;43(7-8):377-81. doi: 10.1097/NNA.0b013e31829d606a.
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.
在每一种护理模式中，识别和避免进一步的临床恶化都可以被称为一个关键的成功因素。随着医疗资源变得更加紧张，并分配给最危重的患者，一些患者被转移到强度较低、费用较低的护理环境中，在这些环境中，连续的生理监测可能不是一个选择。在与临床专家合作开发患者护理领域的安全系统时，护理管理人员正面临着这些复杂的问题。需要对与临床恶化识别相关的文献进行系统回顾，以确定进一步领导力、研究和实践进展的领域。
