Audits

BHS audits performed

Recent Paediatric Audits

Date Topic Student University Findings Notes
Oct 2015 Eating Disorders Annie Rose Deakin Commencement of inpatient refeeding at higher initial rates (2100-2400kCal/day) compared with lower initial rates (1200kCal/day) resulted in:
  • faster initial weight gains at D7 (1.12kg vs. 0.81kg)
  • shorter length of stay - LOS (13.3 days vs. 21.1 days)
  • no difference in overall weight gain (+5% IBW vs. + 5.42% IBW), no increase in NGT use (16.7 vs. 30.8%) or hypophosphataemia (0% vs. 15.4%)
Higher final feeding rates (2800-3000kCal/day) compared with lower final feeding rates (2400kCal/day) resulted in:
  • better overall weight gain (6.44% vs. 4.56% IBW) without much greater LOS (18.9 vs. 16.2 days)
Oral presentation at ANZAED 2015, Christchurch
Oct 2014 Anaphylaxis Charlotte Frost UoM

6 children presenting to ED over 6 months

  • 0/6 had documentation of epipen training
  • 2/6 had epipen script despite using epipen in community
  • 2/6 had followup arranged
 
Oct 2014 Febrile Neutropaenia Fer-Lene Ooi UoM
  • average 20 minutes to be seen by Dr
  • 2 hours to receive antibiotics (guideline 1 hour)
  • Delays in time to antibiotic prescribing and nurse access CVAD
  • Despite times above target, results comparable or better than other ED.
 
Sep 2014 Diabetes Laura Antolini Deakin
  • avg HbA1c Ballarat 8.58%
    • (BHS 8.56%, private 7.84%)
  • 22.73% <7.5 HbA1c, 45.8% >8.5 HbA1c
  • avg HbA1c with CSII 8.37% vs 8.98% with no CSII;
  • social dysfunction avg HbA1c 10.24% v 8.7% without
Oral presentation at APS Diabetes conference, Canberra, Oct 2014