INTRODUCTION
Critical Care Outreach (CCOT) Services are considered to be an essential and integral part of a hospital wide approach in improving the early identification and management of clinically deteriorating patients in the wards. The CCOT is a nurse-led service provided at bedside clinical area. The Services implement early warning triggers to support healthcare teams to identify deteriorating patients earlier and ensure an appropriate response to the patients needs.Clinical audit committee team in the hospital ,identifies the projects that needs prioritization that will produce in term of quality of care which in turn sent to the management for the prompt approval.