Retinopathy of Prematurity Neonatal Audit 2010 Dr Anjan Bhaduri Mr Syed Ali Dr Gopal Krishana Singh

Guidelines

Method O Time scale chosen O 1 st Sept 2010 – 31 st Dec 2010 O All patients in ROP Book (on Neonatal Unit) O Check standards against National Guidelines

Audit Standards

Results O 24 Patients Identified O 3 Notes not able to be located  21 Patients Analysed

Gender

Individual Birthweight & Gestational Age 100% of babies <32 weeks GA or <1501g birthweight receive at least one ROP eye examination

Timing of 1 st Screen (postnatal age in weeks) 95% before 5 completed weeks post natal age (postponement documented)

Screening Before Discharge 100% of babies admitted to the unit at <32 weeks GA have at least one eye examination on the unit

Timing of Treatment O Two babies required transfer for further screening O No babies needed treatment

Parent Information O Difficult to find record of written information given to parents about ROP Screening

Transferred Infants O No screening done before transfer O All screening carried out on return

Discharged Infants O All patients had outpatient appointment before discharge

Audit Standards

Recommendations O Need to record in notes discussion with parents and information leaflet given O Aim to screen all babies before discharge O Use the Standardised Sheet for recording screening results (not always used in all patients)

Patient Information Leaflet Available from Royal College of Paediatrics and Child Health

Standardised Recording Sheet Currently used in most but not all patients