The National Neonatal Audit Programme 2011-2013 Mike Watkinson for the NNAP Project Board NDAU.
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Transcript of The National Neonatal Audit Programme 2011-2013 Mike Watkinson for the NNAP Project Board NDAU.
• The National Neonatal Audit Programme
2011-2013Mike Watkinson for the NNAP Project Board
NDAU
2011-2013
More comprehensive
Outcomes rather than processes
More interactive with networks, trusts and units
More communicative with parents and the public: more outlooking
2011-2013: More comprehensive
More babies !
All neonatal units
Data from all databases
Neonates on surgical units and PICUs
Wales, Scotland and Northern Ireland
2011-2013: More comprehensive
More data per baby !
23 fields in the original audit
Caldicott approval for all data
2011-2013: Outcomes rather than processes
What was the temperature in the first hour? …….
not just ……. ….. Was the temperature measured ?
Was the baby breast fed at discharge home ?……
not just …… …Did the baby receive MEBM at some point in time?
2011-2013: Outcomes more than processes
Babies born at <28 weeks: temperature taken within the 1st hour - a NNU in 2009
Process
2011-2013: Outcomes more than processes
← Process
Outcome →
Birmingham Heartlands breast milk feeding to babies <33 wks who went home in 2009
N MEBM at some time on
NNU
Only donor milk
Only formula
Incomplete data
143 128 4 4 7
128/136 = 94% had MEBM ← Process
2011-2013: Outcomes more than processes
Birmingham Heartlands breast milk feeding to babies <33 wks who went home in 2009 (n=136)
42/136 = 31% exclusively breast feeding
73/136 = 52% receiving breast milk
Milk on NNU
MEBM at some time Only donor milk
Only formula
128 4 4
Milk at discharge
42 breast only
31 mixed feeds
55 formula
only
4 formula
4 formula
← Outcome
2011-2013: Outcomes more than processes
2011-2013: More interactive
Engaging:
OrganisationsNetworksTrustsUnits
Alerts and alarms !!
2011-2013: More interactive – with networks
Unit LevelMin Temp recorded Median
Max temp recorded
1 32.9 34.9 37.0
1 36.5 36.8 38.1
2 34.9 36.6 38.0
2 36.4 37.0 37.4
3 35.7 36.9 38.8
3 33.4 36.75 39.4
Temperature ranges and medians at < 28 weeks - 6 SWMNN units in 2009
2011-2013
More comprehensive
Outcomes rather than processes
More interactive with networks, trusts and units
More communicative with parents and the public
2011-2013: Communication with parents
N N A P
National NeonatalAudit Programme
Annual Report findings for Parents & Carers2009
2011-2013: More communicative with parents and the public
Challenges:
to become better known
publication of articles/stories
to work with other organisations in perinatal care
to attend BLISS meetings and engage in one-to-one conversations with parents
to work with commissioners
2011-2013
More comprehensive
Outcomes rather than processes
More interactive
More communicative / outlooking
NNAP Project BoardMike WatkinsonNeena Modi RCPCH/NDAUAndrew Wilkinson BAPMRoshan Adappa WalesBrian Gill/Alan Fenton BAPM
Jane Abbot BLISSMary Passant Neonatal networksEugene Statnikov/Sridevi Nagarajan NDAUKim Davis RCPCHRita Ranmal RCPCH
Helen Grant HQIPLailaa Carr HQIP
www.rcpch.ac.uk/nnap