Evid Based Nurs 17:29-30 doi:10.1136/eb-2013-101282
  • Nursing issues
  • Mixed methods study

After implementation of a new ‘track and trigger’ model, nursing staff showed improved self-assessed knowledge and confidence in detection and management of deteriorating patients

Editor's Choice
  1. Lindy King
  1. Flinders University, School of Nursing & Midwifery, Adelaide, South Australia, Australia
  1. Correspondence to : Dr Lindy King
    Flinders University, School of Nursing & Midwifery, GPO Box 2100, Adelaide 5001, South Australia,, Australia; lindy.king{at}

Commentary on:

Implications for practice and research

  • Staff education appears important prior to introduction of new track and trigger (T&T) scoring and response systems.

  • Staff confidence, knowledge and use of T&T and early response systems may assist early detection of patient deterioration.

  • Further research on the impact of T&T models on patient outcomes is warranted.


Internationally, training in and use of T&T scoring systems along with a variety of rapid response strategies and regular observation-taking are believed to be useful foundations to assist nurses’ detection of deteriorating patients. In the UK, recommendations have been made for the introduction of these systems.1 However, there are few studies that evaluate the impact …

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