The vast majority of in-hospital cardiac arrests are preceded by a period of physiological deterioration (Deakinet al 2010).
It has been suggested that as many as 75% of all in-hospital cardiac arrests could be prevented (NCEPOD 2012).
It is advocated that hospitals have mechanisms in place to review incidents of cardiac arrest.
At The Princess Alexandra Hospital NHS Trust this was initially instigated by the Critical Care Outreach Team (CCOT), a homogenous group of nurses.
Feedback from this process was good but nursing teams expressed concerns they were not involved in the process.
A new method for review was instigated by the Resuscitation Service in 2019.
