The University of Alabama at Birmingham (UAB) received a $211,347 Project Grant from the Fogarty International Center (CFDA 93.989) to develop and scale up a consumer-grade wearable monitoring system called CONSOL to improve patient outcomes in low-resource settings in Ghana. The project aims to validate the CONSOL system against standard clinical vital signs monitoring and prospectively deploy it in the emergency department and surgery unit at the Korle-Bu Teaching Hospital to provide near real-time vital sign data to clinical and nursing teams. The R33 phase of the project will prepare for broader implementation of the enhanced CONSOL system at the 37 Military Hospital and Greater Accra Regional Hospital in Ghana, and evaluate its effectiveness in capturing clinically meaningful events. This project leverages consumer wearable devices to address challenges with manual intermittent vital sign monitoring in low- and middle-income countries, potentially leading to improved detection of physiologic deterioration and reduced in-hospital complications and mortality.