Growth chart audit

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Growth chart audit

  1. 1. Growth Chart AuditBenedictus Widaja FY121/3/2012
  2. 2. 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
  3. 3. 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
  4. 4. 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
  5. 5. 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
  6. 6. 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
  7. 7. Weight - percentage120100 100 94 95 88 8880 8060 60 56 Weight40 40 Centiles20 0
  8. 8. 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
  9. 9. 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
  10. 10. Height – percentage70 6460 60 5650 50 4740 35 Height30 2520 Centiles 1510 0
  11. 11. 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
  12. 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
  13. 13. Head Circumference -percentage90 8580 757060 62 56 5450 OFC40 4030 Centiles2010 0
  14. 14. 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
  15. 15. 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
  16. 16. Action plan Ideally done on admission Ward job book Availability of appropriate equipment on the ward

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