Data collection for study: commencing soon Publication date: Summer 2018 (tbc)
To identify and explore avoidable and remediable factors in the process of care for patients admitted to hospital with acute heart failure.
To examine organisational structures, processes, protocols and care pathways in hospitals from pre-admission through to discharge or death
To identify a cohort of adult patients admitted with a primary diagnosis of heart failure particularly looking at care in the first 48 hours
To identify avoidable and remediable factors in the management of patients admitted with a primary diagnosis of heart failure throughout the patient pathway from pre hospital care to discharge or death, focusing on the following areas of care:
Prompt recognition and diagnosis of heart failure and rapid initiation heart failure pathway
Appropriate documentation and management heart failure
Prompt senior review and follow-up throughout admission
Escalation of care decisions and planning including admission to critical care
Assessing multidisciplinary team approach
Assessing adequate communications with patient, families and carers
Examining the management of the ‘acute’ end of life pathway and ceilings of treatment including appropriateness of interventions
Equity of access for mechanical support / transplant centre and escalation decisions
Organisational aspects of care delivery for heart failure patients on acute, general or cardiology wards to include aspects of staff training
All adult patients (aged 16 and older) that were admitted as an emergency between 1st January 2016 and 31st December 2016 inclusive and died in hospital with a primary diagnosis of Heart Failure (ICD10 codes: I11.0, I25.5, I42.0, I42.9 and I50.0, I50.1, I50.9).
Patient identifier spreadsheets will be disseminated in February/March 2017.
Clinical questionnaire and case notes
To be disseminated in April/May 2017.
This questionnaire will collect data on organisational aspects of care at your site that relate to this study. We ask that the Local Reporter liaise with the relevant person(s) that can accurately complete the questionnaire.