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23. Chen J, Ou L, Flabouris A, Hillman K, Bellomo R, Parr M. Impact of a standardized rapid response system on outcomes in a large healthcare jurisdiction. Resuscitation. 2016;107:47-56. http://www.ncbi.nlm.nih.gov/pubmed/27507434

24. Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MG, Smorenburg SM, de Rooij SE, Adams R, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. http://www.ncbi.nlm.nih.gov/pubmed/26317569

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26. Andersen LW, Kim WY, Chase M, Berg KM, Mortensen SJ, Moskowitz A, et al. The prevalence and significance of abnormal vital signs prior to in-hospital cardiac arrest. Resuscitation. 2016;98:112-7. http://www.ncbi.nlm.nih.gov/pubmed/26362486

27. Smith GB, Prytherch DR, Jarvis S, et al. A Comparison of the Ability of the Physiologic Components of Medical Emergency Team Criteria and the U.K. National Early Warning Score to Discriminate Patients at Risk of a Range of Adverse Clinical Outcomes. Crit Care Med 2016;44(12):2171-81.

28. Smith GB, Prytherch DR, Schmidt PE, et al. Review and performance evaluation of aggregate weighted 'track and trigger' systems. Resuscitation 2008;77(2):170-9.

29. Prytherch DR, Smith GB, Schmidt PE, et al. ViEWS--Towards a national early warning score for detecting adult inpatient deterioration. Resuscitation 2010;81(8):932-7.

30. Jarvis S, Kovacs C, Briggs J, et al. Aggregate National Early Warning Score (NEWS) values are more important than high scores for a single vital signs parameter for discriminating the risk of adverse outcomes. Resuscitation 2015;87:75-80.

31. Silcock DJ, Corfield AR, Gowens PA, et al. Validation of the National Early Warning Score in the prehospital setting. Resuscitation 2015;89:31-5.

32. Jo S, Yoon J, Lee JB, et al. Predictive value of the National Early Warning Score-Lactate for mortality and the need for critical care among general emergency department patients. J Crit Care 2016;36:60-68.

33. Alam N, Vegting IL, Houben E, et al. Exploring the performance of the National Early Warning Score (NEWS) in a European emergency department. Resuscitation 2015;90:111-5.

34. Keep JW, Messmer AS, Sladden R, et al. National early warning score at Emergency Department triage may allow earlier identification of patients with severe sepsis and septic shock: a retrospective observational study. Emerg Med J 2016;33(1):37-41.

35. Bilben B, Grandal L, Sovik S. National Early Warning Score (NEWS) as an emergency department predictor of disease severity and 90-day survival in the acutely dyspneic patient - a prospective observational study. Scand J Trauma Resusc Emerg Med 2016;24:80.

36. Eccles SR, Subbe C, Hancock D, et al. CREWS: improving specificity whilst maintaining sensitivity of the National Early Warning Score in patients with chronic hypoxaemia. Resuscitation 2014;85(1):109-11.

37. Hodgson LE, Dimitrov BD, Congleton J, et al. A validation of the National Early Warning Score to predict outcome in patients with COPD exacerbation. Thorax 2017;72(1):23-30.

38. O'Driscoll BR, Howard LS, Earis J, et al. BTS guideline for oxygen use in adults in healthcare and emergency settings. Thorax 2017;72(Suppl 1):ii1-ii90.

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40. Goldhill DR, McNarry AF. Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anaesth. 2004;92(6):882-4. http://www.ncbi.nlm.nih.gov/pubmed/15064245

41. Kause J, Smith G, Prytherch D, Parr M, Flabouris A, Hillman K. A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom--the ACADEMIA study. Resuscitation. 2004;62(3):275-82. http://www.ncbi.nlm.nih.gov/pubmed/15325446

42. Friman O, Bell M, Djärv T, Hvarfner A. Jäderling G. National Early Warning Score vs Rapid Response Team criteria-Prevalence, misclassification, and outcome. Acta anaesthesiol Scand. 2018 Aug 20. https://www.ncbi.nlm.nih.gov/pubmed/30125348

43. Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med 2017;32(1):42-48.

44. Thim T, Krarup NH, Grove EL, et al. Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. Int J Gen Med 2012;5:117-21.


SFS 2010:659. Patientsäkerhetslag. Stockholm: Socialdepartementet.

SFS 2014:821. Patientlag. Stockholm: Socialdepartementet.

SFS 2017:30. Hälso- och sjukvårdslag. Stockholm: Socialdepartementet.

SOSFS 2011:7. Livsuppehållande behandling Stockholm: Socialstyrelsen. (Ändringsförfattning HSLF-FS 2017:26).

Martin Spångfors, intensivvårdssjuksköterska,VO Anestesi, OP, IVA Centralsjukhuset Kristianstad , doktorand vid Medicinska fakulteten Lunds universitet
Andreas Hvarfner, Överläkare, Med Dr, Funktion Perioperativ Medicin och Intensivvård, Karolinska universitetssjukhuset, Stockholm
Therese Djärv, docent, specialistläkare i internmedicin och akutsjukvård, Karolinska Universitetssjukhuset, Stockholm