In Reply We appreciate Dr Dombrowski's thoughtful reply to our article1 and agree on all accounts to the excellent points she has raised regarding the important balance between patient rest and adequate monitoring. The escalating level of acuity in hospitalized patients certainly does necessitate more vigilant vital sign collection, but this can be accomplished without foregoing patient sleep.
Yoder JC, Arora VM, Edelson DP. Acutely Ill Patients Will Likely Benefit From More Monitoring, Not Less—Reply. JAMA Intern Med. 2014;174(3):475-476. doi:10.1001/jamainternmed.2013.13026