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UK IBD audit 3rd round

UK IBD audit 3rd round. Inpatient experience questionnaire. Participation in round 3. Inpatient experience questionnaire report follows the: national organisational audit reports (May 2011) national clinical audit reports (February 2012)

charles-good
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UK IBD audit 3rd round

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  1. UK IBD audit 3rd round Inpatient experience questionnaire Name of presenter

  2. Participation in round 3 • Inpatient experience questionnaire report follows the: • national organisational audit reports (May 2011) • national clinical audit reports (February 2012) • For each complete audited admission entered to the UK IBD audit web tool, a questionnaire was generated that was sent to the patient • The questionnaire was returned to the RCP or entered directly on to the audit web tool by the patient, to ensure confidentiality

  3. Inpatient questionnaire responses • Inpatient questionnaires were received from one third of adults and paediatrics included in the inpatient care aspect of the audit - The total number of cases entered into the audit: 6689 - The response rate for adult patients: 33.7% - The response rate for paediatric patients: 32.2% • The full results are presented for the UK overall and divided into adults and paediatrics where possible

  4. Key findings • One in ten adults rated their overall inpatient care as fair or poor • No paediatric patients rated their care as poor, 6.7% rated it as fair • For both adults and children with IBD, overall care satisfaction correlated most strongly with their rating of how well doctors and nurses worked together

  5. Key findings continued • IBD patients appeared to give relatively poorer rating for consistency, coordination of care and nursing care • The bars in the graph above show the range of Trust-level scores for each sub-domain using the National Inpatient Survey results for 2010. The red region shows the scores of the lowest 20% of trusts, the orange region is for the middle 60% and the green region represents the top 20% of trusts. The mean score, and 95% confidence intervals, for IBD patients are shown as the black marker.

  6. Key findings continued • Hospital food was rated as poor by one in five adults and one in ten children. • At least one in ten of all IBD patients reported that the food provided was ‘not enough’ • Over half of adults and a quarter of children reported receiving no visit from a dietician • Eight out of ten IBD patients experienced some pain during their inpatient stay • Around a quarter reported being in pain all or most of the time • More than one in ten IBD patients rated their analgesic medication as ‘not enough’ • At least one in ten patients reported sub‐optimal aspects of discharge information such as lack of information about drug side effects, the danger signs to watch for or how to manage their condition after going home

  7. Key results Adult patient responders versus non responders across a range of key data items

  8. Key results Paediatric patient responders versus non responders across a range of key data items

  9. Key results Hospital food was rated as poor by one in five adults and one in ten children

  10. Key results Eight out of ten IBD patients experienced some pain during their inpatient stay

  11. Key recommendations • All admitted IBD patients should receive input from specialist multidisciplinary teams • Local IBD teams should consider whether the general nursing staff has sufficient awareness and knowledge of IBD and initiate appropriate educational interventions and care pathways to support high quality nursing • All hospitalised patients with active IBD require routine documentation of nutritional intake, weight measurement and dietetic review • Ward medical and nursing teams should review their local policies and current practice with regard to the frequency and effectiveness of pain assessment and provision of analgesia • Discharge policies for IBD patients require local review to ensure that patients receive good quality pre‐discharge information regarding medication, self‐care and follow‐up plans

  12. Acknowledgements • Most importantly thank you to all of the IBD patients, their parents and carers for their time and effort taken in responding to the questionnaires and also all of the people who worked towards collating and entering the data. • All members of the UK IBD Audit Steering Group To access the full report please click here For further information contact: ibd.audit@rcplondon.ac.uk

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