NEAT - Audit of ICU admission practices from ED

Who       
50 patients admitted from ED to ICU

How       
NEAT data collection form completed by duty registrar at time of ICU admission 
https://docs.google.com/forms/d/1uzd1CENtc-PYgYhR-201FtoBxO0Kv8T1YoqDb4AccG0/edit?usp=forms_home&ths=true

When     
6 monthly

Why       
To identify preventable systemic delays in patients being admitted to ICU from ED. In critically ill patients, there is a clear association between the length of time spent in ED and an increase in mortality rates.

Reporting    
At the completion of each audit, the ICU registrar will-

1. Report to the ICU morbidity and mortality meeting
2. Provide a written report 
3. Recommend any changes to the audit including data collection and reported outcomes

Outcomes    
Quantitative

1. Median time between –
   1. Triage and ICU referral  
   2. Initial review by ED doctor and ICU referral  
   3. ICU referral time and ICU review  
   4. ICU review and ICU acceptance
   5. ICU acceptance and ED departure or ICU arrival
2. Proportion of admissions that required patient discharge(s) from ICU to create capacity 
3. Number of patients needing discharge from ICU
4. whether the ACCESS nurse was subsequently needed for direct patient care

Qualitative 
    1. Reasons for admission delays (such as procedures, imaging, patient deterioration etc)