Clinical Service Line 10 - Neonatology, Paediatrics, Paediatric wards, NICU/SCBU

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    National Neonatal Audit Programme
    (2023-10-19) Iyamabo, Doris; Bedford Site
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    Epilepsy 12: National Audit
    Rao, Tekki; Luton and Dunstable Site
    The clinical audit aims are to encourage and facilitate improvements in the care provided to children and young people by paediatric epilepsy services by: LDUH Identifying and registering all patients who have a first paediatric assessment after the Go live date for a paroxysmal episode or episodes such that an EEG referral is made or indicated Recording the details of the first paediatric assessment Recording the details of the first year of care that follows the date of the first paediatric assessment with a focus on 12 key care performance indicators Providing registered Health Boards and Trusts with live individual patient monitoring outputs within the system covering care planning, details of seizure types and frequency and progress against the key performance indicators Allowing for the capture of ongoing years of care Analysing and reporting on the data captured through the clinical audit and making recommendations for improvements to key audiences
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    VTE Risk Assessment and Prophylaxis for Paediatric Patients
    Chong, Chong; Bedford Site
    The incidence of venous thromboembolism in children is significantly lower than in adults. National registry data suggests an incidence of 5-8 cases per 10,000 hospital admissions and 0.05-0.14 per 10,000 of the paediatric population. This shows that risk of VTE is higher in children who are admitted to hospital. Peak incidences: infants <2 years of age and in adolescence More than 80% of paediatric VTE events occur in children with one or more risk factors (around 50 % of adult VTEs occur in the absence of risk factors i.e. are unprovoked) Risk factors: sepsis, malignancy, immobility, surgery, presence central venous line (CVL)  single most important risk factor in the aetiology of VTE
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    Documenting consent to neurophysiological testing
    Ling, Tan; Luton and Dunstable Site
    Vulnerable infants at increased risk of neurodevelopmental problems: Delayed attainment of developmental milestones Cerebral palsy Learning disabilities Having special educational needs, low educational attainment Speech, language and communication problems Attention, impulsivity and hyperactivity Autism spectrum disorder Emotional, behavioural problems
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    National Neonatal Audit Programme (NNAP)
    Birch, Jennifer; Cross-Site
    National Audit brief background and aims Commissioned by HQIP as part of NCAPOP Aim is to promote quality improvement in patient outcomes. Focuses on a mix of outcome data and evidence based interventions that improve morbidity and mortality. National audit reporting on data from all neonatal units in England and Wales Can compare ourselves to national averages and to other NICU’s. Data is collected via the Badgernet summary care record where daily data is entered for all babies on the NNU