Effect of a ventilation multidisciplinary meeting on respiratory patients' journey through critical care

COVID‐19 highlights the need to optimize critical care resource use: The role of a respiratory‐led multidisciplinary team

“…This corresponded with an increase in delayed discharges from 33 to 96, period 1 to period 2 ( p < 0.001). This supports out previous demonstration of a reduction in level 1 bed days with the establishment of an RMDT 4 . Furthermore, the same reduction was not contemporaneously observed at the sister hospital site of similar size under the same hospital management with identical policies without an RMDT 5 .…”

“…This supports out previous demonstration of a reduction in level 1 bed days with the establishment of an RMDT. 4 Furthermore, the same reduction was not contemporaneously observed at the sister hospital site of similar size under the same hospital management with identical policies without an RMDT. 5 This further strengthens the association between RMDT and reduction in level 1 bed days.…”

“…In response, we developed a functioning respiratory‐led weekly multidisciplinary team meeting (RMDT) in April 2014 with an aim to improve critical care resource use. Through retrospective analysis of local ICNARC data, we showed a significant reduction in the number of level 1 bed days spent in critical care, due to a reduction in discharge delay to general wards 4 . However, as a result of large‐scale organizational changes within Birmingham Heartlands Hospital management, the RMDT ceased in August 2017.…”

“…Through retrospective analysis of local ICNARC data, we showed a significant reduction in the number of level 1 bed days spent in critical care, due to a reduction in discharge delay to general wards. 4 However, as a result of large-scale organizational changes within Birmingham Heartlands Hospital management, the RMDT ceased in August 2017. We therefore re-analysed our local ICNARC data as part of a quality improvement initiative to see if cessation of the RMDT resulted in an increase in level 1 bed days, and compared two 2-year time periods before and after the RMDT cessation, period 1 (1 August 2014 to 31 August 2016) and period 2 (1 August 2017 and 31 July 2019), respectively.…”