Processes included in the FeSS protocols | QASC | QASCIP | National Audits | Processes included in the current study and definition foranalysis | |||
---|---|---|---|---|---|---|---|
2013 | 2015 | 2017 | |||||
Fever | |||||||
 Temperature recorded at least four times on day 1, day 2 and day 3a | ✓ | ✓ | ✓ | Ă— | Ă— | ||
 Received paracetamol within 1 h of the first febrile event (recorded in first 72 h) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
F1 |  Overall fever treatment | Patients without fever classified as receiving appropriate fever treatment | |||||
Hyperglycaemia | |||||||
 Formal venous blood glucose level recorded in the ED | ✓ | ✓ | ✓ | Ă— | Ă— | ||
 Finger prick glucose recorded at least four times on day 1, day 2 and day 3a | ✓ | ✓ | ✓ | Ă— | Ă— | ||
 Insulin within 1 h if glucose > 10 mmol/Lb (recorded in the first 72 h) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
G1 | Overall hyperglycaemia treatment | Patients without high glucose classified as receiving appropriate hyperglycaemia treatment | |||||
Swallow | |||||||
S1 |  Swallow screen or swallow assessment by speech pathologist within 24 h of admission | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
S2 |  Swallow screen or assessment before food or drink | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
S3 |  Swallow screen or assessment before oral medications | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
S4 |  Overall swallow monitoring | Met all of S1, S2 and S3 (total cohort) | |||||
S5 |  Swallow assessment by speech pathologist if failed swallow screen | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ Those who did not fail swallow screen or did not receive the screen were classified as receiving appropriate swallow treatment |
S6 |  Overall swallow monitoring and treatment | If monitoring elements S1, S2, S3 and treatment element S5 all met | |||||
Composite outcome All fever, sugar and swallow elements | Met all of F1, G1 and S6 |