BH ICU Manual
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Clinical Performance Meeting

  • Every Monday 13:35
  • The day registrar is responsible for preparing and presenting the Clinical Performance Meeting
  • A template for the presentation can be found on G:\ICU\Clinical Performance (M&M)\Presentations
  • Update the template in real-time – don’t leave it until Monday to fill in

  • Patients for presentation:
    • Morbidity
      • Readmission to ICU within same hospital admission
      • Documented refusals
      • Accidental extubation or line removals
      • Nosocomial infection (CLABSI, VAE etc)
      • Cardiac arrest in ICU
      • Pressure injuries & falls
      • Code greys
    • Mortality
      • Deaths in Unit
      • Deaths in hospital after discharge from ICU

  • Night registrars must ensure the day registrar knows of any patient who died, suffered cardiac arrest or was re-admitted during their shift.
  • Liaison nurses will inform registrar of any ex-ICU patients who died in the ward.
  • If the M&M is cancelled, the Registrar will hold the presentation over to the next week.
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