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[Regional/National] Burns Morbidity & Mortality Meeting

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Presentation on theme: "[Regional/National] Burns Morbidity & Mortality Meeting"— Presentation transcript:

1 [Regional/National] Burns Morbidity & Mortality Meeting
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 [Regional/National] Burns Morbidity & Mortality Meeting [Date & Venue] Audit Period [Dates] [Presenter] [Service]

2 New Referrals Children (age <16) (Definition of new referral)
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 New Referrals (Definition of new referral)  Children (age <16) TBSA% <10% TBSA% ≥10% to <30% TBSA% ≥30% Total   Adults (age ≥16) TBSA% <10% TBSA% ≥10% to <40% TBSA% ≥40% Total A ‘new referral’ is defined as

3 Transfer Post intubation
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Major Paediatric Injuries Paediatric patients requiring Ventilation or Fluid Resuscitation Initials Sex Age % TBSA SII Rev Baux Intubation Site Intubated Days Transfer Post intubation Intubated Days per % TBSA LOS Please provide details of all children(<16 years old) requiring formal IV fluid resuscitation or intubation Sex = Please insert M or F (male or female) SII = Smoke Inhalation Injury Rev Baux = Revised Baux score i.e. age + %TBSA + 17 (if the patient has SII) Intubation Site = Place where the child was intubated e.g. at the scene, ED or the Burn Service (BS) Intubated Days = the number of days the child required ventilation Transfer Post-Intubation = Was the child transferred between hospitals following intubation? Please insert Y or N (Yes or No) Intubated Days per % TBSA = Intubated Days divided by % TBSA LOS = length of hospital stay SII = Smoke Inhalation Injury Rev Baux = Revised Baux Score i.e. Age + %TBSA + 17 (if patient has SII)

4 National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Serious Incidents Root Cause Analyses (RCAs) or Serious Incident (SI) investigations Initials Sex Age %TBSA SII Admission Date Key Events Sex = Please insert M or F (male or female) SII = Smoke Inhalation Injury. Please insert Y or N (Yes or No) Key Events– Please insert relevant key events and dates in font size no smaller than Calibri 16 SII = Smoke Inhalation Injury

5 Serious Incident Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Serious Incident Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival Referral Details Injury Details Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) ED = Emergency Department BS = Burns Service PMH = Past Medical History L&B Chart = Lund & Broder Chart. Please insert a pictorial representation of the patient’s burn distribution here. The Mersey Burns app can be used Please do not use font size smaller than Calibri 16 PMH L&B Chart

6 Serious Incident Timeline
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Serious Incident Timeline Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival PBD * PBD * Burn Add Key Event Add Key Event Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) ED = Emergency Department BS = Burns Service Timeline Please insert details of key events in the Serious Incident at the appropriate time point (i.e. post burn day – PBD). NB PBD 1 is the day after injury. Please do not use font size smaller than Calibri 16

7 Serious Incident Learning Points
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Serious Incident Learning Points Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival  Learning Points Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) ED = Emergency Department BS = Burns Service Learning Points Please summarize what the audience can learn from this case. Please do not use font size smaller than Calibri 16

8 Mortality All Paediatric and Adult Deaths Children Adults Total
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Mortality All Paediatric and Adult Deaths Initials Sex Age % TBSA SII Rev Baux Date Presented at Hospital M&M Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) Rev Baux = Revised Baux score i.e. age + %TBSA + 17 (if the patient had SII) M&M = Morbidity & Mortality Audit Meeting Please present all paediatric mortality cases Please highlight the adult mortality cases to be presented on this table Children Adults Total To be presented  SII = Smoke Inhalation Injury Rev Baux = Revised Baux Score i.e. Age + %TBSA + 17 (if patient had SII)

9 Mortality Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Mortality Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival Referral Details Injury Details PMH L&B Chart Cause of Death/PM Findings Sex = Please insert M or F (male or female) SII = Smoke inhalation injury ED = Emergency Department BS = Burns Service PMH = Past Medical History L&B Chart = Lund & Broder Chart. Please insert a pictorial representation of the patient’s burn distribution here. The Mersey Burns app can be used Cause of Death/PM Findings – Please list the cause of death and PM findings Please do not use font size smaller than Calibri 16

10 Mortality Case Timeline
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Mortality Case Timeline Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival Add Key Event PBD * PBD * PBD * PBD * Burn Add Key Event Add Key Event Add Key Event Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) ED = Emergency Department BS = Burns Service Timeline Please insert details of key events in the Serious Incident at the appropriate time point (i.e. post burn day – PBD). NB PBD 1 is the day after injury. Please do not use font size smaller than Calibri 16

11 Mortality Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Mortality Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival  Learning Points Sex = Please insert M or F (male or female) SII = Smoke inhalation injury ED = Emergency Department BS = Burns Service Learning Points Please summarize what the audience can learn from the case. Please do not use font size smaller than Calibri 16

12 Unexpected Survivors All Survivors with Revised Baux Score ≥ 120
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Unexpected Survivors All Survivors with Revised Baux Score ≥ 120 Initials Sex Age % TBSA SII Rev Baux Date Presented at Hospital M&M Sex = Please insert M or F (male or female) SII = Smoke inhalation injury Rev Baux = Revised Baux score i.e. age + %TBSA + 17 (if the patient has SII) M&M = Morbidity & Mortality Audit Meeting SII = Smoke Inhalation Injury Rev Baux = Revised Baux Score i.e. Age + %TBSA + 17 (if patient had SII)

13 Unexpected Survivor Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Unexpected Survivor Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival Referral Details Injury Details L&B Chart Sex = Please insert M or F (male or female) SII = Smoke inhalation injury ED = Emergency Department BS = Burns Service PMH = Past Medical History L&B Chart = Lund & Broder Chart. Please insert a pictorial representation of the patient’s burn distribution here. The Mersey Burns app can be used Please do not use font size smaller than Calibri 16 PMH

14 Unexpected Survivors Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Unexpected Survivors Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival PBD * PBD * Burn Add Key Event Add Key Event Sex = Please insert M or F (male or female) SII = Smoke inhalation injury. Please insert Y or N (Yes or No) ED = Emergency Department BS = Burns Service Timeline Please insert details of key events in the Serious Incident at the appropriate time point (i.e. post burn day – PBD). NB PBD 1 is the day after injury. Please do not use font size smaller than Calibri 16

15 Unexpected Survivor Case Analysis
National Burns ODN Group A joint Sub-Committee of Operational Delivery Networks for Specialised Burns Regional Burns Audit Meeting 2018 Unexpected Survivor Case Analysis Initials Sex Age %TBSA SII Admission Date Injury Time ED Arrival BS Arrival  Learning Points Sex = Please insert M or F (male or female) SII = Smoke inhalation injury ED = Emergency Department BS = Burns Service Learning Points Please summarize what the audience can learn from the case and why you think treatment was successful. Please do not use text of font size smaller than Calibri 16


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