Executive Summary: Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU
Methodological detailsexecutive summary, systematic review, GRADE approach, 25-member panel
- Executive summary
- Systematic review
- GRADE approach
- 25-member panel
Recommendations
As issued by the authors
- GPS
Ensure all vital sign acquisition is timely and accurate
- No recommendation
Continuous vital sign monitoring in "unselected" patients (no data on benefit; potential harms of false positive alarms, alarm fatigue, cost)
- conditional recommendation
Focused education for bedside clinicians in signs of clinical deterioration
- conditional recommendation
Include patient/family/care partners' concerns in decisions to obtain additional opinions and help
- strong recommendation
Hospital-wide deployment of an RRT/MET with explicit activation criteria
- No recommendation
RRT/MET professional composition or inclusion of palliative care members on the responding team
- conditional recommendation
Responders' skill set should include eliciting patients' goals of care
- GPS
Quality improvement processes should be part of a rapid response system
Original publication
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