|Title:||An audit of non invasive ventilation services in Cork University Hospital and a comparison to the BTS Adult NIV Audit Report 2019|
|Author(s):||M O’Grady, AM Fitzgerald, A Hallahan, S Healy, D Murphy, M Henry|
|Institution:||Cork University Hospital|
|Poster:||Click to view poster|
|Abstract:||In 2020 the physiotherapy department in CUH carried out a 2 month audit of all acute NIV services. A data collection tool, based on that used for the BTS Adult NIV Audit 2019, was used. |
NIV in CUH is provided in multiple settings, by multiple teams. The aim was to establish areas to be improved upon and to benchmark against an internationally recognised guideline and a large multicentre audit (BTS 2019). Results were compared to the BTS Audit results and recommendations outlined in the BTS/ICS guideline 2016.
There were aspects of NIV provision in CUH that compared favourably to the BTS audit results. The number of patients discharged home off NIV was above that reported in the BTS audit and the overall mortality of patients commenced on NIV in CUH was comparable to the BTS results.
There were however areas where CUH did not consistently meet recommended standards. Documentation of prescribed settings and an escalation plan and the taking of an ABG within 2 hours of commencing NIV were suboptimal. Timely initiation of NIV following an indicating ABG was again suboptimal.
An NIV pathway has been developed in CUH and these audit results will inform focus areas during pathway implementation.