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Published byMabel Bryan Modified over 9 years ago
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Retinopathy of Prematurity Neonatal Audit 2010 Dr Anjan Bhaduri Mr Syed Ali Dr Gopal Krishana Singh
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Guidelines
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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
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Audit Standards
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Results O 24 Patients Identified O 3 Notes not able to be located 21 Patients Analysed
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Gender
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Individual Birthweight & Gestational Age 100% of babies <32 weeks GA or <1501g birthweight receive at least one ROP eye examination
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Timing of 1 st Screen (postnatal age in weeks) 95% before 5 completed weeks post natal age (postponement documented)
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Screening Before Discharge 100% of babies admitted to the unit at <32 weeks GA have at least one eye examination on the unit
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Timing of Treatment O Two babies required transfer for further screening O No babies needed treatment
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Parent Information O Difficult to find record of written information given to parents about ROP Screening
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Transferred Infants O No screening done before transfer O All screening carried out on return
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Discharged Infants O All patients had outpatient appointment before discharge
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Audit Standards
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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)
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Patient Information Leaflet Available from Royal College of Paediatrics and Child Health http://www.rcpch.ac.uk/Research/CE/RCPCH-guidelines/ROP
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Standardised Recording Sheet Currently used in most but not all patients
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