• Save
Growth chart audit
Upcoming SlideShare
Loading in...5
×
 

Growth chart audit

on

  • 583 views

 

Statistics

Views

Total Views
583
Views on SlideShare
578
Embed Views
5

Actions

Likes
0
Downloads
0
Comments
0

1 Embed 5

http://awesomemedicalnotes.wordpress.com 5

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Growth chart audit Growth chart audit Presentation Transcript

  • Growth Chart AuditBenedictus Widaja FY121/3/2012
  • Introduction Growth chart is a basic assessment tool of child health and development RCPCH recommendation ◦ Measurement of OFC, height and weight when there is concern about child’s weight gain, growth or general health
  • Methods Sample size: 20 random patients from ward A, B and C Audit performed on two random days ◦ 30 January 2012 and 12 March 2012 Documentation of OFC (if applicable), weight and height in current notes and their respective centiles Plotting of data on a growth chart Results are compared with previous audit results
  • Growth chart in current notes20 1918 17 1616 15141210 9 Yes 8 8 7 No 6 4 4 2 2 1 0 Aug-11 Oct-11 Nov-11 Jan-12 Mar-12
  • Weight measurement30 252520 19 16 15 1515 Yes No10 5 4 2 1 1 0 0 Aug-11 Oct-11 Nov-11 Jan-12 Mar-12
  • Weight Centiles25 222015 12 Yes 11 No10 9 8 weight not recorded 6 5 4 4 3 1 1 0 0 Oct-11 Nov-11 Jan-12 Mar-12
  • Weight - percentage120100 100 94 95 88 8880 8060 60 56 Weight40 40 Centiles20 0
  • Height measurement18 161614 13 12 121210 9 9 8 8 Yes 8 7 No 6 4 4 2 0 Aug-11 Oct-11 Nov-11 Jan-12 Mar-12
  • Height Centiles16 1414 13 1212 1010 9 8 Yes 8 No 6 Height not recorded 4 4 4 3 2 2 2 0 0 Oct-11 Nov-11 Jan-12 Mar-12
  • Height – percentage70 6460 60 5650 50 4740 35 Height30 2520 Centiles 1510 0
  • Head Circumference (<2 yearsold)12 1110 8 8 6 6 6 Yes 5 5 No 4 4 4 2 2 2 0 Aug-11 Oct-11 Nov-11 Jan-12 Mar-12
  • Head Circumference Centiles12 1110 8 7 6 Yes 6 5 5 No 4 4 OFC not recorded 4 2 2 1 0 0 0 0 Oct-11 Nov-11 Jan-12 Mar-12
  • Head Circumference -percentage90 8580 757060 62 56 5450 OFC40 4030 Centiles2010 0
  • Summary – percentage(documented centiles)10090 88807060 60 56 56 Weight50 50 Height40 40 OFC30 2520 1510 0 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12
  • Discussion Growth charts ◦ Not present in most current notes Weight ◦ Weight measurement was done on most patients (80- 95%) ◦ Centiles was done on approximately half of the patients Height ◦ Needs improvement ◦ Done mostly by COAU staff ◦ Lack of equipment to measure length on the ward Head Circumference ◦ Measurements done on approximately half of the patients (<2 years old) ◦ Good centiles documentation Others
  • Action plan Ideally done on admission Ward job book Availability of appropriate equipment on the ward