A system (108) detects deterioration of a patient of a medical institution. A processor(152)receives attended physiological data for the patient from a user interface or a patient monitoring system (102) and obtains a baseline patient score from the attended physiological data and a scoring table. The scoring table is received from a memory (118). The processor (152) further receives physiological data, including at least one of unattended physiological data and attended physiological data, which includes measurements of one or more of the physiological parameters of the patient, from a patient monitoring system (102) for the patient. Scores of the physiological data measurements are compared to corresponding most recent attended physiological data measurements using the scoring table. A clinician is notified of patient deterioration if the score of one or more physiological data measurements has deteriorated as compared to the scores of the corresponding most recent attended physiological data measurements.
