RT Journal Article SR Electronic T1 Impact of respiratory therapists-driven assess-and-treat protocol on unplanned adult neurovascular ICU readmissions: a quality improvement initiative JF BMJ Open Quality JO BMJ Open Qual FD British Medical Journal Publishing Group SP e001816 DO 10.1136/bmjoq-2022-001816 VO 11 IS 2 A1 Fajun Wang A1 Amitha Avasarala A1 Nizari Pandya A1 Karan Panchal A1 Darby Scarantine A1 Allan David A1 Jeniffer Bozogan A1 Jennifer Arendas A1 Julia Maseth A1 Megan Lowman A1 Samantha Zych A1 Jonathan Bishop A1 Firas Abdulmajeed YR 2022 UL http://bmjopenquality.bmj.com/content/11/2/e001816.abstract AB ICU readmission is associated with increased mortality, resource utilisation and hospital expenditure. In the general population, respiratory-related event is one of the most common causes of unexpected ICU readmission. Patients with neurological deficits faced an increased risks of ICU readmissions due to impaired mentation, protective reflexes and other factors. A retrospective review revealed that the leading cause of unexpected ICU readmissions in adult neurovascular patients admitted to our hospital was respiratory related. A respiratory therapists-driven assessment-and-treat protocol was developed for proactively assessing and treating adult neurovascular patients. On-duty respiratory therapists assessed all neurovascular patients on admission, assigned a respiratory severity score to each patient and then recommended interventions based on a standardised algorithm.Our quality improvement initiative had no effect on the rate of unexpected ICU readmissions in adult neurovascular patients. When compared with the baseline population, patients enrolled in the intervention group were significantly older ((79, 68–85 years) vs (71, 56–81 years)), but they spent comparable amount of time in the ICU (4.5 vs 4 days, p=0.42). When the respiratory severity score was trended in the intervention group, patients demonstrated significant improvement in their respiratory function, with a greater proportion of patients scoring in the minimal and mild categories and smaller proportion in the moderate category (p<0.01).Data are available on reasonable request.