Automated Alerts of Patient Deterioration vs. Routine Monitoring of High-risk Patients Admitted to Medical Wards

Inclusion Criteria: * Inclusion and randomization possible within 12 hours of fulfilling all other inclusion criteria below. * Adult patients (≥18 years). * At least one (additional) expected overnight stay. * High-risk medical admission, defines as EITHER: * one or more of the following symptoms or tentative diagnoses: Pneumonia, dyspnea, acute coronary syndrome, new onset heart failure or sepsis WITH two or more of the following deviations in vital signs recorded at one time point within 48 hours of admission: * Respiratory rate ≥ 21 min-1 or ≤ 7 min-1 * Oxygen saturation of arterial hemoglobin ≤ 93 % * Pulse rate ≥ 111 min-1 or ≤ 40 min-1 * Systolic blood pressure ≤ 100 mmHg or \> 200 mmHg * Temperature \> 39 °C or ≤ 35,9 °C * Any alteration in mental status * Any oxygen supplementation OR ○ Discharged from ICU-stay lasting ≥ 24 hours regardless of cause of ICU-admission. Exclusion Criteria: * Patient expected not to cooperate with study procedures. * Allergy to plaster or silicone. * Patients admitted for palliative care only (i.e. no active treatment). * Planned admission to unit using continuous vital sign monitoring (i.e. an intermediary care/telemetry unit). * Patients previously enrolled in the studies WARD-COPD (H-18026653) or WARD-Surgery (H-17033535). * Patients previously enrolled in the surgical ward RCT * A pacemaker or Implantable Cardioverter Defibrillator (ICD) device. * Inability to give informed consent.