Clinical deterioration in hospital inpatients: the need for another paradigm shift

Daryl A Jones, Nicola J Dunbar and Rinaldo Bellomo
Med J Aust 2012; 196 (2): . || doi: 10.5694/mja11.10865
Published online: 6 February 2012

Proactive recognition and response, pre-emptive management

Despite improvements in medical therapy and improved outcomes, patients admitted to acute care hospitals may suffer clinical deterioration and potentially avoidable morbidity. Recent reports show that patients admitted to hospital suffer cardiac arrests at a rate between 0.66 and 11.2 per 1000 admissions,1,2 and the approximately 80% mortality rate due to in-hospital cardiac arrests has not changed since the description of cardiopulmonary resuscitation more than 50 years ago.3,4

  • Daryl A Jones1,2
  • Nicola J Dunbar3
  • Rinaldo Bellomo1,4

  • 1 Department of Intensive Care, Austin Health, Melbourne, VIC.
  • 2 Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC.
  • 3 Australian Commission on Safety and Quality in Health Care, Sydney, NSW.
  • 4 Australian and New Zealand Research Centre, Monash University, Melbourne, VIC.


Competing interests:

Rinaldo Bellomo works as a paid consultant for Philips Healthcare in the development of monitoring technology for general wards. Daryl Jones has received consultancy fees from Eastern Health and a grant from the Australian Commission on Safety and Quality in Health Care for a multicentre study on outcomes of MET patients.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.