The UK intensive care community should encourage and develop a validated methodology to review referralsto intensivecare and evaluate decisionmakingand subsequent outcomesrelating to intensivecare admission and refusal.
Units should develop a consistent approach to patient-centred decision making, evaluating burdens and benefitsof admission to intensivecare, and be able to demonstrate thisthrough the audit of pre-admission consultation, agreed ceilings oftherapy, and time-limited treatmenttrials.
Longer-termmortality should be collected on all patients admitted to critical care.
All patients admitted to a critical care unitmust be included in a national clinical audit programme in which Levels of Care data are collected.
Level of Care classification must not be used in isolation to decide upon a patient’s staffing requirements.
The UK intensive care community should encourage and develop a validated methodology to review referralsto intensivecare and evaluate decisionmakingand subsequent outcomesrelating to intensivecare admission and refusal.
Units should develop a consistent approach to patient-centred decision making, evaluating burdens and benefitsof admission to intensivecare, and be able to demonstrate thisthrough the audit of pre-admission consultation, agreed ceilings oftherapy, and time-limited treatmenttrials.
Hospitals should have policies to support patients and staff of diverse religious beliefs and cultural backgrounds.60
There should be policies
There should an anaesthetist#ref-1
