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548 Clinician adherence to adolescent HEADSSS assessments

Archives of disease in childhood, 2022-08, Vol.107 (Suppl 2), p.A444-A444 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. ;2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 0003-9888 ;EISSN: 1468-2044 ;DOI: 10.1136/archdischild-2022-rcpch.721

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  • Title:
    548 Clinician adherence to adolescent HEADSSS assessments
  • Author: Caldwell, Emily ; Sauven, Natasha
  • Subjects: Abstracts ; Adolescents ; Audits ; Pediatrics ; Surveys ; Teenagers
  • Is Part Of: Archives of disease in childhood, 2022-08, Vol.107 (Suppl 2), p.A444-A444
  • Description: Aims• Audit adherence to completion of HEADSSS assessment tool in clerking adolescents• Survey clinicians as to which parts of the assessment they find more difficult and why• Implement changes including teaching to address areas that clinicians find more challenging• Reaudit to see whether increasing awareness and confidence of the assessments has improved adherenceMethods• Retrospective study of notes. Notes identified using the paediatric admissions lists, sorting for age (10-18), and the first 50 sets of notes for September 2020 were requested.• Survey of clinicians using an online format, circulated to all members of the Child Health Department. Aim to survey awareness of the HEADSSS assessment, obstacles during assessment and challenging communication topics• Teaching sessions, departmentally and for the foundation school• Reaudit using retrospective notes from May 2021 (same methodology as original audit)Results• Primary audit: 30 sets of 50 notes identified were available for analysis. Of these, 3 utilised the HEADSSS assessment tool in the clerking proforma; 2 were completed and 1 was acknowledged but not completed due to the acute illness• Reaudit: 29 sets of 50 notes identified were available to analyse. Of these, 6 utilised the HEADSSS assessment tool in the clerking pro forma; 3 were fully completed and 3 were partially completedConclusionThese results demonstrate a 100% improvement in the number of HEADSSS assessments being completed, compared to the original audit in September, following interventions.However, the assessments are still not being completed across all age groups, or presentations, including 5 female adolescents presenting with abdominal pain in the cohort analysed. They are mostly being completed by more senior members of staff, implying that there is still more to be done to help increase confidence of more junior members of the team to complete the assessments. There is thus still more to do including bringing greater awareness not only into foundation teaching but potentially even in medical school curricula.
  • Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
  • Language: English
  • Identifier: ISSN: 0003-9888
    EISSN: 1468-2044
    DOI: 10.1136/archdischild-2022-rcpch.721
  • Source: Alma/SFX Local Collection
    ProQuest Central
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