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6. Referral process

 
Key findings
  • A high percentage of patients were referred to critical care by staff in training; 21% of referrals were made by SHOs.
  • Consultant physicians had no knowledge or input into 57% of referrals to critical care.
  • Delays between referral to critical care and review (5%) and between decision to admit to critical care and admission (16%) were common.
  • A significant factor in delay was the lack of appropriate staff and ICU beds.
  • 18% of patients were admitted to ICU without prior review by the intensive care service.

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