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Observation chart

This is the Standard Adult General Observation (SAGO) Chart. The Chart is part of the Between the Flags Program. Broad consultation across the NSW Health System has occurred, and informed the design of the Chart.

The main vital signs are graphed so that trends can be easily ‘tracked’. There are also colour coded zones to indicate when patients observations are likely to represent deterioration, where a response is ‘triggered’. The colour coded zones are derived from the Early Warning Signs and the Late Warning Signs but are not the same. An expert committee has reviewed and determined appropriate thresholds for these criteria.

Incorporating call criteria in observations charts is an effective way in which to highlight possible deterioration and assist clinicians with making decisions as to when to ‘trigger’ a response, whether that be for a clinical review or rapid response call.

The SAGO chart has Yellow and Red Zones which correspond to early and late signs of deterioration which require a Clinical Review (Yellow Zone) or Rapid Response (Red Zone). . To put it simply, patients in the Yellow zone are likely to be ‘sick’ and in the Red Zone ‘very sick’.

There are a number of existing rapid response systems that are consistent with the Between the Flags Program such as MET (Medical Emergency Teams)/ALS (Advanced Life Support).

Important points about the Observation Chart

Click on each page for a larger view.In the larger view, rollover the blue arrows for more information. Text version (.pdf 49kB)

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DETECT Manual

Chap 1: When to worry (.pdf 765kB)

Chap 2: I can’t breathe (.pdf 766kB)

Chap 3: Warm hands, warm feet (.pdf 427kB)

Chap 4: The five causes of anuria (.pdf 335kB)

Chap 5: The confused patient (.pdf 257kB)