• CCOT & follow up after ITU
  Link:ceaccp.oxfordjournals.org/content/1/5/146.full.pdf
  
• NCEPOD suggested every hospital should have CCOT service available 24/7
• Aims
• Avert admission by identifying deteriorating patients
• Support continued recovery of previously critically ill patients
• Share critical care experience
• Prevent deterioration on the ward
• Abdominal wound
• Pancreatitis
• Chest injuries
• Peritonitis
• Specific problems after discharge
• Psychological issues (PTSD, CFS, anxiety, depression)
• Tracheostomy
• Skin/nail changes
• Sexual dysfunction
• Mobility
• Unclear if CCOT does indeed reduce unplanned ITU admissions - study is difficult due to widespread differences in CCOT teams.
• Careful not to prevent skills fade in CCOT
• Follow-up discharged patients
• Risk of death increased by 70% if d/c at night
• Liaise with wards and ITU
• 50% of patients have substandard care on ordinary wards prior to admission.
• 40% of admissions potentially avoidable
• CEACCP
  Link:ceaccp.oxfordjournals.org/content/early/2012/01/17/bjaceaccp.mkr062.full.pdf
  
• CEACCP
  Link:ceaccp.oxfordjournals.org/content/4/6/202.full.pdf