Pediatrics & Therapeutics
Open Access

Closed loop audit on the management of acute wheeze presenting to a paediatric emergency department

26^th European Pediatrics Congress

October 22-23, 2018 | Amsterdam, Netherlands

Sarah Kyne

University Hosptial Galway, Ireland

Scientific Tracks Abstracts: Pediatr Ther

Abstract :

Wheeze and cough are common presentations to the Paediatric Emergency Department. The aim of this closed loop retrospective audit was to assess compliance with the current clinical guidelines in University Hospital Galway regarding the management of acute wheeze. Emergency Presentations were first examined during an eleven week period from the 1st of July to the 18th of September 2017 (Audit Period 1) where the management of acute wheeze in the Emergency Department was evaluated. A teaching session was then held to all Consultant and NCHD staff on the 9th of November 2017. A re-audit (Audit Period 2) was then carried out between 20th of November to the 31st of December 2017. With this closed loop audit, we saw that there was an improvement from an overall 78% compliance of Acute Wheeze guidelines during Audit Period 1 to 89% in Audit Period 2. In particular, we saw an improvement in the use of meterdose- inhalers for the moderate wheeze category. Despite this improvement; there was still an under-admission of severe wheeze children to the Paediatric Ward with a portion of these being discharged home with an asthma action plan. This audit identified a number of key areas to improve compliance with the University Hospital Galway Acute Wheeze Guidelines. Improvements were seen after the first teaching session however, with the change of staff frequently every six to twelve months among the paediatric staff; it is important to have ongoing education and audits to ensure compliance with treatment guidelines.

Biography :

Sarah Kyne is a Paediatric Senior House Officer. She is currently on the second year of her training scheme in Ireland in Paeditrics. She graduated from Trinity College Dublin in June 2016 and completed her first year of intern training in St James’s Hospital in Dublin. After this she applied straight to the Paeditric Training scheme and carriied out her first year on this scheme on General Paediatrics in Galway. She is currently working at the National Maternity Hospital, Holles Street, Dublin on Neonatology. Dr Kyne is in the process of completeing her Paediatric Membership exams.

E-mail: kynes@tcd.ie