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Global lessons from deaths from heart failure in UK hospitals
  1. Lisa J Anderson1,
  2. Iain B Squire2,
  3. Martin R Cowie3
  1. 1 Cardiology Clinical Academic Group, St George’s University of London and St George’s University Hospital NHS Foundation Trust, London, UK
  2. 2 Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
  3. 3 National Heart and Lung Institute, Imperial College London, London, UK
  1. Correspondence to Dr Lisa J Anderson, Cardiology Clinical Academic Group, St George’s University of London and St George’s University Hospital NHS Trust, London SW17 0QT, UK; lisa.anderson{at}stgeorges.nhs.uk

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The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has recently published a review of the care received by patients who died in UK hospitals following an admission with acute heart failure (HF).1 A sample of up to six adults who died during an admission to each hospital in the UK in 2016 was selected, with a total of 603 deaths being examined in detail by a multidisciplinary group of case reviewers. Various aspects of care, both organisational and clinical, were reviewed and graded as either good practice, room for improvement or less than satisfactory.

There were six principal recommendations, shown in the online supplementary table 1.

Supplementary data

[heartjnl-2018-314641supp001.docx]

England is not short of recommendations on HF. The National Institute for Health and Care Excellence (NICE) has published a clinical guideline, with quality standards, for acute HF,2 3 and there is a rolling audit of HF admissions that produces an annual report on many processes and outcome of care for HF in English hospitals.4 The NCEPOD report reinforces many, if not all of those recommendations, but highlights some areas of practice that require more attention.

Most notably, many patients admitted with HF, who are not known to the admitting team, have a …

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