CoBRA : COde Blue Retrospective Audit in a Metropolitan Hospital

2021 ◽  
Author(s):  
Robert A Paul ◽  
Craig Beaman ◽  
David A West ◽  
Graeme J Duke
Keyword(s):  
Code Blue ◽  
Retrospective Audit ◽  
Metropolitan Hospital

scholarly journals 244 Does Direct Admission to ICU In Emergency Laparotomy Patients with A NELA Score ≥ 10% Affect Outcome at Fiona Stanley Hospital?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Shepherd ◽  
A Foster
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
New Zealand ◽  
Surgical Patients ◽  
Emergency Laparotomy ◽  
Improvement Project ◽  
Code Blue ◽  
Retrospective Audit ◽  
Direct Admission ◽  
Surgical Unit

Abstract Introduction The Australian and New Zealand Emergency Laparotomy Audit (ANZELA) is a quality improvement project based on UK NELA. Direct admission to ICU post-operatively for patients with a NELA ≥ 10% is recommended. In the current pandemic, the use of critical care beds must be rationalised. We investigated if patients with NELA ≥ 10% experienced worse outcomes if admitted to the ward post-operatively (instead of ICU). Method We performed a retrospective audit of emergency laparotomies at Fiona Stanley Hospital over 6 months December 2019 – May 2020. NELA scores were obtained from the ANZELA database and patient notes reviewed to identify post-operative unplanned ICU admissions and mortalities. Results Twenty-four (30%) emergency laparotomy patients had a NELA ≥ 10%. Ten (42%) patients were admitted to the ward post-operatively. There were no unplanned ICU admissions in this group. Two (20%) patients had a documented ‘code blue’ but were managed conservatively on the ward. No patients in this group died within 30 days. Conclusions Post-operative ward admission in selected patients with NELA ≥ 10% does not result in unplanned ICU admissions or increased mortality at a tertiary Acute Surgical Unit. This data is reassuring as we expect future ICU bed shortages for non-COVID surgical patients during the pandemic.

A large retrospective audit of adrenal incidentalomas

2014 ◽  
Author(s):  
Sviatlana Zhyzhneuskaya ◽  
Nora Wuerdemann ◽  
Sath Nag ◽  
Vijayaraman Arutchelvam ◽  
Simon Ashwell
Keyword(s):  
Adrenal Incidentalomas ◽  
Retrospective Audit

Management of diabetic ketoacidosis in a district general hospital: a 3 years retrospective audit

2013 ◽  
pp. 1-1
Author(s):  
Mohamed Ahmed ◽  
Juaidy Zakaria ◽  
Caitriona Doyle ◽  
Ciana McCarthy ◽  
Cathrine McHugh
Keyword(s):  
Diabetic Ketoacidosis ◽  
General Hospital ◽  
District General Hospital ◽  
Retrospective Audit

Retrospective audit of adrenal incidentaloma

2019 ◽  
Author(s):  
Henry Dyer ◽  
MS Majeed ◽  
Fahad Wali Ahmed
Keyword(s):  
Adrenal Incidentaloma ◽  
Retrospective Audit
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