Hospital Based Continuous Patient Monitoring System

Change in heart rate with CONSOL compared to pre-CONSOL implementation

The investigators will implement CONSOL and record the abnormal vital signs indicative of clinically meaningful events in the CONSOL group. The investigators will then compare the number of abnormal vital signs detected in the CONSOL group to that of the group of patient before CONSOL is implemented. The investigators will match the 2 groups on time period (e.g., CONSOL group recruited in 6-month period with pre-CONSOL group in the 6 months prior CONSOL. Vital sign measured is heart rate. Abnormal vital sign cutoffs are listed below: Heart Rate (beats/minute) 1-4 years old \< 60 or \>120 5-12 years old \<60 or \>110 13-18 years old \<60 or \>100

Change in respiratory rate with CONSOL compared to pre-CONSOL implementation

The investigators will implement CONSOL and record the abnormal vital signs indicative of clinically meaningful events in the CONSOL group. The investigators will then compare the number of abnormal vital signs detected in the CONSOL group to that of the group of patient before CONSOL is implemented. The investigators will match the 2 groups on time period (e.g., CONSOL group recruited in 6-month period with pre-CONSOL group in the 6 months prior CONSOL. Vital sign measured respiratory rate. Abnormal vital sign cutoffs are listed below: Respiratory Rate (breaths/minute) 1-4 years old \<20 or \>30 5-12 years old \<16 or \>20 13-18 years old \<12 or \>16

Change in SPO2 with CONSOL compared to pre-CONSOL implementation

The investigators will implement CONSOL and record the abnormal vital signs indicative of clinically meaningful events in the CONSOL group. The investigators will then compare the number of abnormal vital signs detected in the CONSOL group to that of the group of patient before CONSOL is implemented. The investigators will match the 2 groups on time period (e.g., CONSOL group recruited in 6-month period with pre-CONSOL group in the 6 months prior CONSOL. Vital sign measured SPO2. Abnormal vital sign cutoffs are listed below: SPO2\<92%

Change in time to detection of abnormal heart rate using CONSOL

Change in time to detection of abnormal heart rate (HR) will be estimated by assessing detection of abnormal HR in intervals of 15 minutes up to 6 hours (usual care intervals of manual VS measurement). Since CONSOL will be implemented in addition to usual care manual HR measurement, abnormal HR detected by CONSOL can be compared to abnormal HR detected by manual measurement at each interval. Abnormal heart rate cutoffs are listed below: Heart Rate (beats/minute) 1-4 years old \< 60 or \>120 5-12 years old \<60 or \>110 13-18 years old \<60 or \>100

Change in time to detection of abnormal SPO2 using CONSOL

Change in time to detection of abnormal SPO2 will be estimated by assessing detection of abnormal SPO2 in intervals of 15 minutes up to 6 hours (usual care intervals of manual VS measurement). Since CONSOL will be implemented in addition to usual care manual SPO2 measurement, abnormal SPO2 detected by CONSOL can be compared to abnormal SPO2 detected by manual measurement at each interval. Abnormal SPO2, cutoffs are listed below: SpO2 (%) \<92%

Change in time to detection of abnormal respiratory rate using CONSOL

Change in time to detection of abnormal respiratory rate (RR) will be estimated by assessing detection of abnormal RR in intervals of 15 minutes up to 6 hours (usual care intervals of manual RR measurement). Since CONSOL will be implemented in addition to usual care manual RR measurement, abnormal RR detected by CONSOL can be compared to abnormal RR detected by manual measurement at each interval. Abnormal respiratory rate cutoffs are listed below: Respiratory Rate (breaths/minute) 1-4 years old \<20 or \>30 5-12 years old \<16 or \>20 13-18 years old \<12 or \>16

Exploratory outcome: Investigation of the dynamic heart rate patterns associated with clinical deterioration and rescue interventions

The dynamic VS patterns associated with clinical deterioration and rescue interventions will be examined only for patients who experienced a rescue intervention. Vital signs measured is heart rate. Rescue interventions are defined as actions taken to stabilize a patient with quickly deteriorating physiological status.

Exploratory outcome: Investigation of the dynamic SPO2 patterns associated with clinical deterioration and rescue interventions

The dynamic VS patterns associated with clinical deterioration and rescue interventions will be examined only for patients who experienced a rescue intervention. Vital signs measured is SPO2. Rescue interventions are defined as actions taken to stabilize a patient with quickly deteriorating physiological status.

Exploratory outcome: Investigation of the dynamic skin temperature patterns associated with clinical deterioration and rescue interventions

The dynamic VS patterns associated with clinical deterioration and rescue interventions will be examined only for patients who experienced a rescue intervention. Vital signs measured is skin temperature. Rescue interventions are defined as actions taken to stabilize a patient with quickly deteriorating physiological status.

Exploratory outcome: Investigation of the dynamic respiratory rate patterns associated with clinical deterioration and rescue interventions

The dynamic VS patterns associated with clinical deterioration and rescue interventions will be examined only for patients who experienced a rescue intervention. Vital signs measured is respiratory rate. Rescue interventions are defined as actions taken to stabilize a patient with quickly deteriorating physiological status.