COMS

“COMS Impact of NICE guidance and CQUINS on uptake of Cardiac Output Monitors across the NHS: A
trainee led national survey” – Collaborator
Our first collaboration in a national study was through COMS. Coordinated by RAFT (Research and Audit Federation of Trainees), this sought to determine current COM availability and determine the effect of CQUIN payment schemes and NICE guidance in driving COM implementation. Data were collected across 67 sites, 5 from SEARCH.
Results: Sixty-six sites had purchased cardiac output monitors (average monitors per site seven (standard deviation seven)) with a total of 480 devices in circulation. The most common cardiac output monitor in use was the Cardio-Q Oesophageal Doppler Monitor (183, 38%) and the most common purchase reason cited was “clinical opinion” (129, 27%), not National Institute for Health and Care Excellence medical technologies guidance (67, 14%) or Commissioning for QUality and Innovation payment schemes (124, 26%). Only a minority of sites had published cardiac output monitor guidelines (28, 44%) or had implemented training (36, 56%).
Poster Presentation: Anaesthetic Research Society Spring meeting, RCOA, April 2015 Abstract: Br. J. Anaesth. (2015) doi: 10.1093/bja/aev116.
Manuscript submitted to Perioperative Medicine
Contributors: Róisín Monteiro (regional lead), Philip Dart, Duncan Hargreaves, Geoffrey Ho, Zehra
Ozfirat, Seema Pai (local trust contributors)
COMS submission perioperative medicine (amended)