“…Other explanations may be that the patient's overall clinical condition may have appeared better than the vital signs first indicated, hospital cultural factors, such as lack or insufficient MET education, change of staff documenting subsequent vital signs, the willingness of ward staff to call a MET, the way a MET interacts with ward staff, preference to call the ward attending doctors, and the extent of collaboration amongst doctors and nurses. [18][19][20] Nurses were more likely to call a MET for patients with ALF, and patients with ALF were more likely to have had a critical care review prior to an event. This suggests that some other ward-based interventions, instead of a MET, may have been triggered instead of a call.…”