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We began by centering on IMC customers, implementing acuity-based nursing projects and standardised everyday nursing rounds within the IMC aiming to reduce very early client transfers to the ICU. Then, we expanded to any or all clients admitted to a hospital medical unit from the crisis department (ED), targeting clients with gastrointestinal (GI) bleed and sepsis who had been at an increased threat for very early transfer to the ICU. We then developed an ED intake huddle process that