Abstract

Our objective was to determine whether an Early Warning Score (EWS) based on laboratory tests could risk stratify patients admitted to the Norfolk & Norwich University Hospitals NHS Foundation Trust with pneumonia. Physiological EWS systems producing an escalated response to an increasing score are used effectively within the Trust, yet mortality is high in patients admitted with a diagnosis of pneumonia. The CURB-65 score may not be an effective risk stratification tool for predicting mortality in the older patient nor to guide intensive care admission [1]. Jarvis and colleagues developed an EWS based on laboratory blood tests and used it in conjunction with physiological EWS to effectively risk stratify all medical patients [2].

Highlights

  • We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety

  • Pediatric pharmacists have been an integral part of the PICU rounds since 2002, their role has evolved over the course of years

  • From 1 January 2003 through 31 December 2012 pharmacists made 24,207 clinical interventions in the PICU and 19,252 of those interventions resulted in changes in medication therapy or therapy monitoring

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Summary

Introduction

We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety. The objective of our study was to implement a Post Arrest Consult Team (PACT) and improve the quality of care for admitted OHCA patients This retrospective audit evaluated adult patients who suffered in-hospital cardiac arrest (IHCA) against the recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report [1]. It looked at the recognition of the acutely unwell, the interventions made, the decisions taken from admission through to the post-arrest period and the outcomes following cardiopulmonary resuscitation (CPR). Methods We conducted a chart review of all patients admitted to the Department of Critical Care (DCC) at our hospital following cardiac arrest over 2 years in 2010 to 2012 (Group 1). Methods A retrospective review was conducted looking at SICU patients managed with a normothermia protocol, with particular

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