Safer and more efficient vital signs monitoring: an observational study

Safer and more efficient vital signs monitoring to identify the deteriorating patient: an observational study towards deriving evidence-based protocols for patient surveillance on the general hospital ward

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN10863045

Enrollment

200640

Registered

2019-02-01

Start date

2014-01-01

Completion date

Unknown

Last updated

2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients at risk of deterioration in the hospital Signs and Symptoms Patients at risk of deterioration in the hospital

Interventions

Current interventions as of 27/01/2020: This study involves retrospective analysis of vital signs data from Portsmouth and Oxford hospitals. These data will be used to model the rate of change of vita

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 27/01/2020: For the database study: 1. Aged 16 years and over 2. Admitted to any hospital from Portsmouth Hospitals NHS Trust since 1st January 2010 or Oxford University Hospitals NHS Foundation Trust since 1st January 2017 For the observational study: 1. At each site, we will randomly select 4 wards on which to conduct observations Previous inclusion criteria: For the database study: 1. Aged 16 years and over 2. Admitted to any hospital from Portsmouth Hospitals NHS Trust or Oxford University Hospitals NHS Foundation Trust since 1st January 2014 For the observational study: 1. At each site we will randomly select 4 wards on which to conduct observations

Exclusion criteria

Exclusion criteria: 1. Patients whose data are not entered into local electronic patient records 2. Patients who request that their details are not used for research 3. Patients on maternity wards

Design outcomes

Primary

Measure	Time frame
1. The future risk of adverse outcomes will be determined by the change in vital signs vs the risk of adverse outcomes over time. 1.1. Adverse outcomes will be defined as mortality, unplanned admission to ICU and cardiac arrest. 2. Staff workload will be measured using the time taken to obtain and record vital signs observations and the factors that affect the time taken. 3. The cost for all protocols will be measured using estimates of the cost associated with changes in frequency and type of vital signs observations.	—

Measure

Time frame

1. The future risk of adverse outcomes will be determined by the change in vital signs vs the risk of adverse outcomes over time. 1.1. Adverse outcomes will be defined as mortality, unplanned admission to ICU and cardiac arrest. 2. Staff workload will be measured using the time taken to obtain and record vital signs observations and the factors that affect the time taken. 3. The cost for all protocols will be measured using estimates of the cost associated with changes in frequency and type of vital signs observations.

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Countries

England, United Kingdom

Contacts

Public ContactRachel Henning

ccrg@ndcn.ox.ac.uk-

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 6, 2026