Data Analysis: Scheduled/Unscheduled Care Comparison - August 2017 Reporting Optimisation of intravenous fluid prescribing: framework for changing practice through education and audits Patient demographics IV fluid plan IV fluids prescribed Appropriate type of fluid received? Division Specialty Ward Day of IV prescribed (weekend/weekday) Patient cohort (n=?) Documentation on PENS (to prescribe i.v. fluids)? Fluid status documented on PENS? Weight recorded on PENS in last 7 days? Has fluid balance been recorded in the last 24 hours? (P=Partial) UE result available in last 24 hours? Documentation of type of to be prescribed? Indication for fluid prescribed recorded on PENS? Volume of Fluid recorded? Duration recorded IV potassium prescribed? Maintenance Replacement Resuscitation Unscheduled Care Clinical Gerontology 2B / 2Y ASU Wday 4 75% 100% 50% Y 50% 50% 25% 100% 100% 100% 50% 100% N/a N/a Wend 5 60% 60% 40% Y 60% 20% 20% 100% 100% 100% 60% 75% N/a 100% P 20% Scheduled Care Unplanned Surgical 2 100% 100% 50% Y 100% 100% 50% 100% 100% 100% 0% 0% 100% N/a
2X Wend 2 100% 100% 0% P 100% 100% 0% 100% 100% 67% 0% 100% N/a N/a Scheduled Care Cardiology 3A Wday 0 Wend 1 100% 100% 100% P 100% 100% 100% 100% 100% 100% 100% N/a 100% N/a Patient demographics IV fluid plan IV fluids prescribed Appropriate type of fluid received? Division Specialty Ward Day of IV fluid prescribed (weekend/weekday) Patient cohort (n=?) Documentation on PENS (to prescribe i.v. fluids)? Fluid status documented on PENS? Weight recorded on PENS in last 7 days? Has fluid balance been recorded in the last 24 hours? (P=Partial) UE result available in last 24 hours? Documentation of type of fluid to be prescribed? Indication for prescribed recorded on PENS? Volume of Fluid recorded? Duration recorded IV potassium prescribed? Maintenance Replacement Resuscitation Unscheduled Care Infectious Diseases 3X / 3Y Wday 4 75% 75% 75% Y 50% 100% 0% 100% 100% 100% 100% 100% 100% 100% P 50% Wend 6 67% 88% 33% Y 33% 100% 33% 88% 100% 100% 50% 100% 0% 100% P 50% Scheduled Care Trauma & Orthopaedics 4A / 4B Wday 1 100% 100% 0% Y 100% 100% 0% 100% 100% 0% 0% N/a 100% N/a Wend 0 100% 0% 0% Y 100% 50% 0% 100% 100% 100% 0% 0% N/a N/a
Unscheduled Care General Medicine 9B Wday 1 100% 100% 100% Y 100% 100% 0% 100% 100% 0% 0% 100% N/a N/a Wend 1 100% 100% 0% 0% 100% 0% 100% 100% 0% 100% N/a 100% N/a Unscheduled Care Clinical Pharmacology 9X Wday 1 100% 0% 100% Y 100% 100% 0% 100% 100% 100% 0% N/a N/a 100% Wend 1 100% 100% 100% P 100% 100% 100% 100% 100% 100% 100% N/a 100% N/a Scheduled Care Breast Unit 9Y Wday 4 50% 50% 50% Y 75% 75% 0% 100% 100% 100% 0% 67% N/a 100% P 25% Wend 0 Patient demographics IV fluid plan IV fluids prescribed Appropriate type of fluid received? Division Specialty Ward Day of IV prescribed (weekend/weekday) Patient cohort (n=?) Documentation on PENS (to prescribe i.v. fluids)? Fluid status documented on PENS? Weight recorded on PENS in last 7 days? Has balance been recorded in the last 24 hours? (P=Partial) UE result available in last 24 hours? Documentation of type of to be prescribed? Indication for fluid prescribed recorded on PENS? Volume of Fluid recorded? Duration recorded IV potassium prescribed? Maintenance Replacement Resuscitation Unscheduled Care Urology 8Y Wday 2 0% 0% 50% Y 100% 50% 0% 100% 100% 100% 0% 100% N/a 100% Wend 2 0% 0% 100% Y 50%
Patient demographics IV fluid plan IV fluids prescribed Appropriate type of fluid received? Division Day of IV prescribed (weekend/weekday) Patient cohort (n=?) Documentation on PENS (to prescribe i.v. fluids)? Fluid status documented on PENS? Weight recorded on PENS in last 7 days? Has fluid balance been recorded in the last 24 hours? (P=Partial) UE result available in last 24 hours? Documentation of type of to be prescribed? Indication for fluid prescribed recorded on PENS? Volume of Fluid recorded? Duration recorded IV potassium prescribed? Maintenance Replacement Resuscitation Unscheduled Care Wday 62 77% 45% 68% F 53% 84% 29% 100% 100% 95% 48% 82% 78% 100% P 35% Wend 46 81% 48% 65% F 65% 87% 11% 100% 100% 94% 33% 57% 67% 91% P 24% Wday 30 57% 43% 63% F 70% 90%