AH ANNUAL REPORT 2018

Local Audit
Audit of the Burns Unit ward
based clinic.
Audit of unplanned admission
after paediatric day case
anaesthesia in UK.
(PAPAYA) Paediatric
Unplanned Daycase
Admissions.
A Re-Audit of completion of
Routine Outcome Measures,
with comparison of results
for children with ASD (autistic
spectrum disorder) and
Neuro-typical children (i.e.
children not on the autistic
spectrum).
Audit of the removal of
metalwork from lower limb
Actions
The audit was discussed with the ward manager and consultant and all Burns Unit
staff have had a copy of results in December 2017.
Action/Recommendation:
• In addition to the patient information leaflet the parents receive we are producing a
card to give to the parents.
• The card we are producing details what will happen at the clinic appointment -
where the clinic is held, what time to arrive, if they are given medication here, or
if the parents administer their child’s analgesia at home, when the medication
becomes effective, length of time they may expect to spend at the hospital,
contact number of clinic/nurses if they have any questions themselves, or to
rearrange their child’s appointment if they are unable to attend the date and time
they have been given.
• No Re-audit required as we feel the detailed cards/information will explain some of
the reasons why some patients have a longer clinic time allocation.
The audit is a part of the national PAPAYA project The data has been submitted to
the audit in November 2017 and will have to wait for report/feedback from PATRN.
(Paediatric Anaesthesia Trainee Research Network) part of (APA) Association of
Paediatric Anaesthetists of Great Britain and Ireland.
PAPAYA aim to complete analysis and write up by Autumn 2018.
Action/Recommendation:
• Will discuss in the anaesthetic department audit meeting and present to daycase
services/specialties as indicated upon completion.
• Re-audit in 12 months.
The audit was presented at the Alder Hey CAMHS (Child and Adolescent Mental
Health Service) Clinical Governance meeting in January 2018.
Action/Recommendation:
• Consider further study on the comparison of ROMS (Routine Outcome Measures)
completion, for children/Young People with ASD and Neuro-typical children.
• Consideration to create a specific ROMS aimed to meet the needs of children/
Young People with ASD. E.g. visual prompts, use of electronic devices and take
core symptoms into consideration.
• Dissemination of the results. Staff training on the importance of ROMS and how
and when to administrate them in order to achieve >90% completion rate.
• Recognition for staff who have achieved high ROMS completion rate.
• Re-audit in 6 months.
The audit was presented at the Alder Hey Orthopaedic department meeting in
September 2017. Previously presented at the anaesthetic meeting in March 2017.
Action/Recommendation:
• Daycase pathway in progress for patients not requiring much analgesia postoperation.
• Daycase pathway written for removal of metalwork from lower limb.
• Re-audit in 6 months.
Alder Hey Children’s NHS Foundation Trust 91
Annual Report & Accounts 2017/18