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

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Level 3 Hospitals - Admission From: HDU, 4, 0% ICU, 11, 1% PICU, 2, 0% Other Hospital, 85, 6% Same Ward, 37, 3% Emergency N = 1,349 Other Ward, 112, 8% Short Stay, 56, 4% A & E, 452, 34% Home, 581, 43% Home GP A & E Short Stay Other Ward Same Ward Other Hospital Adult HDU ICU HDU PICU GP, 9, 1% `Ü~êí=ON=içÅ~íáçå=éêáçê=íç=ÉãÉêÖÉåÅó=ea`=ÉéáëçÇÉ=Ó=iÉîÉä=P=eçëéáí~äë= = Children's Hospitals - Admission From: Emergency N = 4,100 ICU, 20, 0% PICU, HDU, 172, 4% 161, 4% Other Hospital, 402, 10% Same Ward, 513, 13% Other Ward, 669, 16% Home, 785, 19% A & E, 931, 23% GP, 9, 0% Home GP A & E Short Stay Other Ward Same Ward Other Hospital Adult HDU ICU HDU PICU Short Stay, 438, 11% `Ü~êí=OO=içÅ~íáçå=éêáçê=íç=ÉãÉêÖÉåÅó=ea`=ÉéáëçÇÉ=Ó=`ÜáäÇêÉåÛë=eçëéáí~äë= PU
In Chart 22, 13% of children are from the same ward; this is predominantly a reflection of the children who received multiple episodes of HDC treatments for chronic conditions. 20 children received care in an adult ICU prior to HDC within a Children’s Hospital. = = RKRKO= = içÅ~íáçå=~ÑíÉê=ÜáÖÜ=ÇÉéÉåÇÉåÅó=Å~êÉ= The destination after the episode of high dependency care can indicate the trajectory of illness, i.e. improvement or deterioration that requires a higher level of care. The charts below show where children go after elective and emergency HDC episodes. HDC Audit - End HDC Destination: HDU, 280, 3% PICU, 108, 1% Other Hospital, 342, 4% Died, 27, 0% ICU, 35, 0% Adult HDU, 1, 0% Elective/ Emergency N= 9,680 Other Ward, 2047, 21% Home, 2392, 25% Home Same Ward Other Ward Adult HDU ICU Other Hospital HDU PICU Died Same Ward, 4448, 46% `Ü~êí=OP=^ìÇáí=ëìãã~êó=Ó=ÇÉëíáå~íáçå=~ÑíÉê=ÉéáëçÇÉ=çÑ=ÜáÖÜ=ÇÉéÉåÇÉåÅó=Å~êÉ= The majority of children remain within the hospital after their episode of HDC (72%), i.e. on the same ward or another ward; this is an expected pathway following HDC. Children went home after HDC in a quarter of all episodes; 65% of these were elective admissions A small number (388, 4%) went to either a high dependency unit (HDU) or paediatric intensive care unit (PICU). A further 4% were transferred to another hospital; suggesting that either a higher level of care was required or that the children’s condition had improved and they were transferred to a hospital closer to home. 27 children died; 81% of these children were receiving end of life care. PV
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Page 3 and 4: 7.4 PATIENT PATHWAYS ..............
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Page 9 and 10: Record (red book) and communication
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Page 23 and 24: Stirling Royal Infirmary (3) Raigmo
Page 25 and 26: 600 550 584 Regional Analysis of Mo
Page 27 and 28: The drop in the number of returns b
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Page 31 and 32: The table below shows the distribut
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Page 35 and 36: The length of episode relates to th
Page 37 and 38: HDC Audit - Individual Length of Ep
Page 39 and 40: The Children's Hospitals - Individu
Page 41 and 42: Treatment code No. of children O 2
Page 43: Urban Level 2 - Admission From: HDU
Page 47 and 48: Over half the children (55%) receiv
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Page 51 and 52: From hospital: To hospital: Non-Sco
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Page 75 and 76: HDC/High dependency care The Tanner
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Page 83 and 84: Level 3 Hospitals - High Dependency
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Is there a nominated Consultant Sur
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