Nurses Day! - Birmingham Children's Hospital

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The reports of 25 national clinical audits were
reviewed by the Trust in 2012/13 and the Trust
intends to take the following actions to improve the
quality of healthcare provided:
The results of 25 local clinical audits were
reviewed by the Trust in 2012/13 and the Trust
intends to take the following actions to improve the
quality of healthcare provided:
BTS Paediatric Asthma Audit (2012)
l The use of the Asthma/Wheeze care pathway will be audited.
l Patients admitted with severe/life threatening exacerbation of asthma will now have a
follow up appointment booked following discharge.
l Feedback will be given to the BTS regarding the use of peak flow and length of stay and its
use in the national audit.
Paediatric cardiac surgery (NICOR Congenital Heart Disease Audit) (2012)
l Continue to liaise with Heart Suite suppliers to rectify the misplacement of co-morbid data
and the placing of more than one code in a diagnostic or procedure field.
l Regularly export the BCH data from the Congenital Database to review the procedures
analysis against the algorithm and locally held data (reverse validation).
l All therapeutic implantable devices and electrophysiological procedures in patients with
congenital heart disease will now be submitted to congenital CCAD.
Severe trauma (Trauma Audit & Research Network) (2012)
l A Working Group is reviewing rehabilitation services including patient journeys.
l Collate data for the region, comparing key metrics between each Major Trauma Centre and
Trauma Unit to inform the ongoing development of trauma networks.
Diabetes(2012)
l The diabetes PREM questionnaire has been distributed in the diabetes clinics.
Tissue Viability - Annual Audit of Pressure Ulcers
The tissue viability assessment tool and wound assessment paperwork will be united into a skin
care bundle.
Burns Ward - Assessment and Referral of Burns in ED
More education is planned for staff regarding referral guidelines and the level of detail required
during assessment.
Emergency Department - Left before treatment / Triage
l Regular triage training for staff to be arranged.
l Clarification of police role to be highlighted to all staff.
l New doctors to be made aware of the Left Before Triage guideline as part of their
induction training.
Palliative Care - Clinical audit on advanced care plan for management of cardiorespiratory
arrest in children and young person with advanced malignancy
Ensure all staff are aware of the importance of early palliative discussions and are aware of and
are using the Palliative Care Toolkits.
Ophthalmology - An innovative approach to paediatric fundus photography
Continue to use this method as it has been proven successful. Audit results to be published in
Ophthalmology Journal 2013.
Pain Management (College of Emergency Medicine 2012)
l Pain set as a priority for the Emergency Department.
l Re-evaluation of scores has improved since the implementation of a reminder stamp
at triage.
Audiology - Bone anchored hearing aids (BAHA) in very young children
The decision to implant a BAHA in children between the ages of three and five years
will continue to be made on a case by case basis with the inclusion of the family and
multidisciplinary team.
Neurology - Guillain Barre syndrome (GBS)
Ensure the departmental guidelines are up to date and accessible. MRI scan to be added to the
list of investigations required for patients with GBS.