The factors that influence junior doctors' capacity to recognise, respond and manage patient deterioration in an acute ward setting: An integrative review

The factors that influence junior doctors' capacity to recognise, respond and manage patient deterioration in an acute ward settings are complex. This review indicates that there is substantial room for improvement in junior doctors' capacity to deal with patient deterioration. Evidence suggests preparation of junior doctors in the recognition and management of the deteriorating patient is influenced by effective simulation education and clinical experiential exposure over time. More accessible supervision for junior doctors in acute wards is recommended to avert error and delays in the appropriate escalation of care in the deteriorating patient.