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Audit of High Dependency Care for Children and Young People in ...

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The patient pathway provides data about the flow <strong>of</strong> patients; how children <strong>and</strong> young people<br />

present <strong>for</strong> high dependency care, movement with<strong>in</strong> hospitals, between hospitals <strong>and</strong> NHS Board<br />

boundaries.<br />

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The follow<strong>in</strong>g charts provide <strong>in</strong><strong>for</strong>mation about where a child presents, prior to high dependency<br />

care. Data is only presented on the emergency patient pathway, i.e. 5,757 emergency episodes.<br />

Adult HDU, 1, 0%<br />

HDU, 168, 3%<br />

ICU, 32, 1%<br />

HDC <strong>Audit</strong> - Admission From:<br />

PICU, 174, 3%<br />

Emergency N = 5,757<br />

Other Hospital, 495, 9%<br />

Same Ward, 556, 10%<br />

Other Ward, 818, 14%<br />

Home, 1533, 26%<br />

A & E, 1463, 25%<br />

GP, 23, 0%<br />

Home<br />

GP<br />

A & E<br />

Short Stay<br />

Other Ward<br />

Same Ward<br />

Other Hospital<br />

Adult HDU<br />

ICU<br />

HDU<br />

PICU<br />

Short Stay, 494, 9%<br />

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For emergency episodes, children were predom<strong>in</strong>antly admitted from either home (26%) or an A&E<br />

department (25%). The same ward/other ward category <strong>in</strong>dicates children mov<strong>in</strong>g between wards<br />

with<strong>in</strong> hospitals <strong>and</strong> only 495 (9%) were transferred from another hospital. Admissions from shortstay<br />

wards (9%) reflect local care pathways, not all Level 3 <strong>and</strong> 4 Hospitals operate short stay<br />

wards <strong>for</strong> assessment <strong>and</strong> review.<br />

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