NENC London Adult Critical Care Network Transfer audit Why monitor - - PowerPoint PPT Presentation

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NENC London Adult Critical Care Network Transfer audit Why monitor - - PowerPoint PPT Presentation

Nov 02, 2022 382 likes •512 views

NENC London Adult Critical Care Network Transfer audit Why monitor Role of network to monitor transfers Documentation Medico legal document Audit to learn from incidents Developing the training and competencies

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SLIDE 1

NENC London Adult Critical Care Network Transfer audit

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SLIDE 2

Why monitor

  • Role of network to monitor transfers
  • Documentation
  • Medico legal document
  • Developing the training and

competencies

  • Standardising policy
  • Audit to learn from incidents
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SLIDE 3

Background

New books developed July 2015 3 parts

  • 1 to patient notes (white)
  • 1 goes with patient (blue)
  • 1 form goes to the Network (pink)
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SLIDE 4

Method in collecting data

Looking at the following from 102 pink sheets

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Results Level of care given on transfer

8 units - 102 transfer forms since July 2015

  • Barnet - 5
  • Homerton - 12
  • Newham - 10
  • North Middlesex - 31
  • Royal Free - 10
  • Royal London - 20
  • Whipps Cross - 11
  • Whittington - 3
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SLIDE 6

8 units - 102 transfer forms since July 2015 Level of care on transfer in %

Level of care given on transfer

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SLIDE 7

Results Incidents

7 incidents

  • 1 linked to equipment failure
  • 1 incident recorded but no reason given
  • 5 patient deterioration
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SLIDE 8

Results Working diagnosis/organ support on transfer

1 2 2 1 1 1 6 2 2 1 2 13 1 1 2 1 5 9 6 1 3 4 1 7 1 3 6 2 2 2 2 2 2 1 1 1 2 2 4 6 8 10 12 14

Working diagnosis/organ support on transfer

Whittington Whipps Cross The Royal London RFH North Mid Newham Homerton Barnet

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SLIDE 9

Neuro 13% Cardio 13% Respiratory 7% Gastro/liver 11% Genito- urinary 8% Endocrine /metabolic 1% Poisoning 1% Burns 2% Musculosceletal 4% Not Recorded 40%

Working diagnosis/organ support on transfer

Results Working diagnosis/organ support transfer %

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SLIDE 10

Results

  • Emergency – 41
  • Urgent - 7
  • Very urgent - 13
  • Elective - 21

5 10 15 20 25 30 35 40 45 Emergency Urgent Very Urgent Elective Non Clinical Not Recorded Repatriation Tertiary referalls

Status of transfers

Status of transfers - total 102

  • Non clinical – 5
  • Not recorded – 7
  • Repatriation – 6
  • Tertiary referrals - 2
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SLIDE 11

Conclusion/recommendation

  • Level of care missing on 5 %
  • Incidents 6.5 % where 4.6 % was due to

patient deterioration

  • Working diagnosis/organ support 40 %

missing

  • Status of transfer 40% emergency, 7 % not

recorded

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SLIDE 12

Recommendation

  • New books
  • Educate all units (fill out the forms, transfer training..)
  • On going project

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Understanding before and after the course

Understanding before? Understanding after?