Use of post-unit hospital deaths of ICU survivors as a quality indicator
نویسندگان
چکیده
Results There were 796 critical care admissions in the specified period. Of these, 60 (7.5%) patients died in-hospital after being discharged from ICU. Nine (15%) patients were discharged with treatment limitations in place and suffered further deterioration after ICU. Another nine (15%) patients were discharged with a new diagnosis of end-stage non-malignant disease (predominantly liver or renal failure). End stage malignancy was diagnosed in seven (12%) patients during their ICU stay and re-admission was not felt appropriate. A total of ten (17%) patients suffered unexpected complications after ICU discharge, but readmission was deemed inappropriate in seven (70%) of these patients. Seven (12%) patients were coded incorrectly, and had actually been discharged from hospital alive.Two (3%) patients were re-admitted and died on the unit and two (3%) were transferred to other hospitals. Notes were not available for review for 14 (23%) patients.
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