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
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Author Affiliation: Chief Nurse Executive, University of Kentucky Healthcare, Lexington.
The author declares no conflicts of interest.
Correspondence: Dr Swartz, University of Kentucky Healthcare, 800 Rose Street, N-105, Lexington, KY 40536 (firstname.lastname@example.org).
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