Assessment of quality of care for children in selected hospitals in ...

Assessment of quality of care for children in selected hospitals in GhanaSummary score management of diarrhoea Good To be improved(to be circled) 5 4 3 2 1Please indicate the quality of support by marking one of the 5 numbers; 5 indicates good support, 4 to 1indicating levels of necessary improvement (4=small need for improvement, 1=urgent need for improvement).5.3 Fever conditionsStandardsA differential diagnosis of fever is considered and appropriate investigations are undertaken.Meningitis is correctly diagnosed and managed.Severe complicated malaria is correctly diagnosed and managed.Measles is correctly diagnosed and managed.Other febrile conditions are correctly diagnosed and managed.Adequate monitoring and supportive care is ensured.Standards and criteriaGoodTo beimprovedCommentsDifferential diagnosis and investigationsAppropriate assessment is undertaken for allchildren with febrile conditions pp 133‐134‐history‐examination‐laboratory.Children admitted with fever have a differentialdiagnosis for possible and likely conditionsconsidered p 135.Appropriate examinations/investigations areundertaken to establish a diagnosis (lumbarpuncture, blood film for malaria, urineexamination, chest x‐ray) p 137.Diagnosis and management of meningitisLumbar puncture is performed without delaywhen meningitis is suspected p 149Adequate antibiotic treatment is started withoutdelay when bacterial meningitis is suspectedp 150.Complications of meningitis are diagnosed andtreated appropriately:‐convulsions‐hypoglycaemia etc. p 153.Appropriate patient monitoring is performedand charted p 153‐state of consciousness‐respiratory rate‐pupil size.Page 73