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Vital signs under-reporting: a critical factor in delayed rapid response system activation in hospital settings
  1. Aderonke Agboji1,
  2. David Anekwe2,3
  1. 1University of Northern British Columbia, Prince George, Canada
  2. 2Department of Physical Therapy, The University of British Columbia, Vancouver, Canada
  3. 3Physical Therapy, University of Northern British Columbia, Prince George, Canada
  1. Correspondence to Dr David Anekwe, Department of Physical Therapy, The University of British Columbia, Vancouver, Canada; david.anekwe{at}

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Commentary on: Considine J, Casey P, Omonaiye O, et al. (2024). Importance of specific vital signs in nurses' recognition and response to deteriorating patients: A scoping review. Journal of Clinical Nursing, 00, 1–18.

Implications for practice and research

  • There is a need to develop training and protocols that will enhance nurse’s documentation and utilisation of vital signs in clinical decision-making and patient care.

  • To further guide the creation of training curricula and standards, future studies should examine how nurses prioritise and make decisions about vital sign assessments and their use in patient care.


Vital signs are essential markers of a patient’s physiological state, and these include heart rate, temperature, blood pressure, oxygen saturation, respiration rate and level of consciousness. Consequently, accurate assessment, documentation and interpretation of these markers are vital for …

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  • X @david_anekwe

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.