Annual Report and Accounts - The Great Western Hospital

No. Audit Title
Reconstruction
Audit
4. College of
Emergency
Medicine (CEM) -
Asthma in
Emergency
Department (ED)
5. College of
Emergency
Medicine (CEM) -
Fractured Neck
Of Femur's in
Emergency
Department (ED)
6. College of
Emergency
Medicine (CEM) -
Pain in Children
in Emergency
Department (ED)
7. National Pleural
Procedures Audit
2010
8. Myocardial
Ischaemia
National Audit
Project-2010
9. NCEPOD- An
Age Old
Problem- Elective
and Emergency
Surgery in the
Elderly
10. College of
Emergency
Medicine CEM –
National Audit of
Emergency
Department
Discharge Data
on GP Letters.
11. Data for Head
and Neck –
DAHNO 6 th
Round
12. Inpatient Audit of
Children with
Diabetes
(SWPDN)
Learning From The Project
sufficient time in their consults to discuss reconstructive issues. It is recommended
that those involved in the development of future guidelines on mastectomy and
breast reconstruction should refer to the results of high achieving organisations.
The audit demonstrated that there is a great improvement with the performance.
Areas that need to improve are recording of peak flow, better recording of discharge
plans, use of proforma and promote local education and training.
The pain scores are not always recorded on NOF proforma and there are delays in
analgesia, X-Rays & fast tracking admission. Improvement plan focuses on better
recording/education, improvements in ED flow.
There is improvement in pain scoring, analgesia recording & reassessment.
The results reflect that 40% of chest drains with pleural effusions are being carried
out by Ultrasound guidance. There is no bedside ultrasound is being carried out.
High numbers of drains are being put in for undiagnosed effusions. Ultrasound
machine has been purchased, local pleural effusion guidelines have been
developed, pneumothorax guidelines updated. Teaching and education is done
regularly. Other plans include producing a chest drain proforma.
The Trust has demonstrated high compliance with the key performance indicators.
The area that needs to improve is time of transfer of patients with nSTEMI (acute
coronary syndrome) to cardiac beds on admission.
Current practice is in line with most of the national recommendations. There are no
recommendations to implement,
The project organisers have not provided individual hospital reports. Local actions
include implementation of recommendations from the college.
The Trust is compliant with the majority of the criteria and has shown significant
improvement since the last audit in intervals from referral to established diagnosis.
Areas for improvement include documentation of chest imaging onto the local
database.
Participation rates were low, however positive with regard to paediatric diabetes staff
but critical of other health professional’s knowledge. Patients and parents were
happy with amount of contact with Dr, paediatric diabetes specialist nurse (PDSN)
and
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