Developments in adult critical care transfer in England: a positive legacy of the <scp>COVID</scp>‐19 pandemic

Grier, Scott; Browne, Richard W.

doi:10.1111/anae.15752

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Concerns regarding the safety of adult critical care transfer have been consistently voiced [2][3][4][5] and re-emphasised in recent guidelines. 6 A recurring theme, however, has been a lack of adherence to published national guidelines despite their existence.…”

Section: Discussionmentioning

confidence: 99%

“…1 The provision of formal ACCTS will enable improvements in the safety and efficiency of adult critical care transfer which have long been recognised as deficient in England's historical adhoc approach to adult critical care transfers. [2][3][4][5][6] Quality metrics, developed through consensus methods, have been published for paediatric and neonatal critical care transfer services in both Europe and the USA. 7,8 In adult services, however, whilst many likely use quality metrics, or have specified contractual obligations, a set of quality metrics specifically designed for adult services through consensus methods have not been published.…”

Section: Introductionmentioning

confidence: 99%

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Developing key performance indicators for adult critical care transfer services: Scoping review and Delphi technique

Haslam

Giouse

Dean

et al. 2023

Journal of the Intensive Care Society

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In 2021 NHS England commissioned regional Adult Critical Care Transfer Services. These services will replace a historically predominant ad hoc approach to adult critical care transfers nationally. It is anticipated that these new formal services will provide a system of robust regional & national governance previously acknowledged to be deficient. As part of this process, it is important that an agreed set of transfer service quality indicators are developed to drive equitable improvement in patient care. We used a Delphi technique to develop a set of key performance indicators through consensus for a recently established London critical care transfer service. We believe this may be the first-time key performance indicators have been developed for adult critical care transfer services using a consensus method. We hope services will consider tracking similar measures to enable benchmarking and drive improvements in patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developing key performance indicators for adult critical care transfer services: Scoping review and Delphi technique

Haslam

Giouse

Dean

et al. 2023

Journal of the Intensive Care Society

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“…Access to critical care services and expertise even in rural areas, therefore, assumes great importance as patients who have been declared brainstem dead and potential organ donors need to be managed carefully with adequate organ perfusion, until a disposition regarding organ procurement can be made. In most developed regions, there is a well-developed operational system of critical care transport where unstable patients who are invasively ventilated, on pressors and even supported by extracorporeal life support can be transported to an organ transplant centre for procurement of organs 18 19. Even when patient transport cannot take place, systems exist for transportation of the organs after procurement in a manner that maintains the viability of the organ enroute to the recipient.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Tele-ICU enabled management of an organ donor in an under-resourced setting

Dasari,

Reddy,

Parmar

et al. 2024

BMJ Case Rep

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A man in his 30s was involved in a road traffic crash in a small town in India, not equipped to deal with cases of brainstem death. He was declared brain-dead after a few hours. The patient’s information was forwarded to organ specialists across the country, with the goal of preserving the patient’s organs for donation via a tele-ICU model. The team comprising bedside doctors and remote intensivists communicating via an indigenously developed tele-ICU platform managed the patient for 24 hours, following treatment protocols and providing critical care to ensure that the patient’s vital organs were optimally perfused. The following morning, specialist teams from a nearby city arrived at the local hospital to retrieve the patient’s organs. This fast-tracked organ retrieval and transplant process were made possible through advances in technology and the involvement of specialists from other parts of the country through this tele-ICU model.

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“… 25 As a legacy of COVID-19, there has been a recognition of the need for more established adult critical care transfer services within England with multiple services now in operation (or commissioning process). 26 …”

Section: Interpandemic Preparationmentioning

confidence: 99%

Critical care and pandemic preparedness and response

Thomson,

Puthucheary,

Wan

2023

British Journal of Anaesthesia

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Developments in adult critical care transfer in England: a positive legacy of the COVID‐19 pandemic

Cited by 3 publications

References 13 publications

Developing key performance indicators for adult critical care transfer services: Scoping review and Delphi technique

Developing key performance indicators for adult critical care transfer services: Scoping review and Delphi technique

Tele-ICU enabled management of an organ donor in an under-resourced setting

Critical care and pandemic preparedness and response

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