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Authors

  1. Williams, Ged RN, MHA, LLM, FAAN
  2. Du Plessis, Jean MSc (Mgment), RN
  3. Rotering, Loralee MSc, RN
  4. Samuel, Asha RN, RM, MSN, MBA
  5. Abdel Khaleq, Maher Husni RN
  6. Sweeny, Amy RN, BSc, MPH

Abstract

Background: Intensive care outreach nurses (ICONs) can reduce deterioration and death of patients in hospitals.

 

Purpose: Evaluate outcomes associated with implementation of the ICON role across 4 UAE hospitals.

 

Methods: Trend analyses and [chi]2 tests were used to measure changes before ICON program, during ICON year 1, ICON year 2, when the service coverage extended 24/7, and until the end of 2019.

 

Results: From year 1 to year 2, failures to escalate decreased from a rate of 14.8 to 5.6 episodes per 1000 admissions for all sites combined (P < .001). The cardiac arrest rate went from 4.04 to 1.42 per 1000 admissions in year 2 and continued downward to 0.72 per 1000 (P < .001). Transfer from ward or readmission to intensive care unit/high dependency unit varied by site, although there was a statistically significant trend for all hospitals combined.

 

Conclusion: The ICON role contributed to fewer failure to escalate incidents and lower cardiac arrest rates.