Abstract
NCEPOD reported in 2012 that 75% of patients had warning signs for cardiac arrest present prior to their arrest [1]. NICE recommends a vital sign-based early warning score (EWS) to identify patients at risk of deterioration or death [2]. In our trust, audit has shown that only 20 to 35% of patients trigger the clinical EWS prior to cardiac arrest. Jarvis and colleagues proposed that an EWS based on common laboratory findings can predict patient mortality [3]. The aim of this study, as part of a wider review of cardiac arrests in our hospital, was to determine whether the laboratory early warning score (LEWS) might be of use identifying patients at risk of cardiac arrest in our trust.
Highlights
We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety
There are numerous reports of critical care staff stealing controlled drugs (CDs) for personal use or financial gain and notably there have been some cases where CDs have been substituted for other medications in order to delay detection of the theft
Pediatric pharmacists have been an integral part of the PICU rounds since 2002, their role has evolved over the course of years
Summary
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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