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AUDIT

Drug Kardex audit We audited 104-drug kardex over a period of three weeks by random selection. Data were collected in a pre-devised proforma and compared with the standards of CDDFT medicine policy. Overall improvement was noted but still a few concerns remained.

Management of hypoglycaemia in newborn Presented in audit meeting in Diana, Princess of Wales Hospital, Grimsby 2002. Re- audit - Retrospective case notes review of the management of hypoglycaemia. 50 case notes were studied. Substantial overall improvement was noted.

Why do patients fail to keep their appointment in a Paediatric Outpatient Clinic’ Presented in audit meeting in Raigmore hospital, Inverness 2003. Prospective questionnaire study was done to the parents who missed their appointment in paediatric outpatient clinic. New appointment system was introduced (as a trial). This has been re-audited and the policy has been put into practice.

Audit on prevention of hypothermia in preterm newborn Presented in the audit meeting in Peterborough DGH 2004. Audited 26 case notes including 16 cases and 10 controls to look at the effectiveness of using polythene bag in improving admission temperature in our unit.

Use of Melatonin as night sedation Presented in the audit meeting of University Hospital of North Durham – 2006. Audited 30 case notes regarding use of melatonin as night sedation prescribed in the community paediatric clinic. I specifically looked at the indication, dosage, duration, effectiveness and side effects of melatonin in cases with learning disability.

Waiting time in Paediatric Day Unit RVI 2007 – supervised my junior colleague. I developed this idea realising that patients have to wait for long hours in paediatric day unit because of lack of monitoring system. We reviewed 100 cases and recommended guidelines.