Authors (including presenting author) :
Yip YY, Li KC, Ng WT, Poon ST, Pun MT, Ho KM, Yeung WY, Lam KN on behalf of NTEC ICU ECMO team
Affiliation :
Intensive care unit, NTEC
Introduction :
Since its inception in 2023, the Cluster based ECMO Collaborative Program has been a transformative force in critical patient care across the New Territories East Cluster (NTEC). Designed to elevate the quality and coordination of ECMO services, this initiative has met the rising demand for specialized medical services and significantly enhanced patient survival rates through comprehensive training programs. The program's success was notably recognized in recent Shenzhen Hospital Accreditation Research Center (SHARC) accreditation exercise, achieving excellence for its high standards.
Objectives :
Introducing the NTEC ICU clustered ECMO program, which was notably recognized during the SHARC accreditation exercise.
Methodology :
The program utilized a multi-faceted approach to enhance the quality of ECMO care. Key strategies included the establishment of a tertiary center serving as a referral hub, while peripheral units operated in a "scoop and run" mode. This setup ensured rapid patient cannulation and retrieval at local sites (NDH and AHNH), followed by a referral to the tertiary center for advanced care. Additionally, the program facilitates a smooth transition for patients returning to local units for post-acute rehabilitation, ensuring a continuum of care. To support this structure, extensive training was provided through regular simulation courses and drills, complemented by an online education platform to facilitate continuous learning and improvement, fostering teamwork and enhancing the skills of nurses and doctors.
Result & Outcome :
Following the initiation of the program, a dramatic increase in survival rates was observed. In 2023, the VA ECMO survival rate was 47%, which rose to 69% by 2024, demonstrating a significant improvement in patient outcomes and meeting international standards of excellence. This increase not only highlights the program's effectiveness but also underscores the enhanced safety measures and clinical skills acquired by the healthcare teams.
The clustered ECMO Program has been a success, markedly improving survival rates and addressing the demand for specialized medical services. This model exemplifies a robust framework for future advancements in patient care and inter-unit collaboration, setting a standard for ECMO service excellence.
