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Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department

Hepburn, Kirsty, Bennett, Verity, Kemp, Alison Mary, Hollen, Linda Irene, Nuttall, Diane, Roberts, Zoe, Farrell, David and Mullen, Stephen 2020. Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department. Emergency Medicine Journal 37 (6) , pp. 351-354. 10.1136/emermed-2019-208595

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Abstract

Objectives The Burns and Scalds Assessment Template (BaSAT) is an evidence-based proforma coproduced by researchers and ED staff with the aim of (1) standardising the assessment of children attending ED with a burn, (2) improving documentation and (3) screening for child maltreatment. This study aimed to test whether the BaSAT improved documentation of clinical, contributory and causal factors of children’s burns. Methods A retrospective before-and-after study compared the extent to which information was recorded for 37 data fields after the BaSAT was introduced in one paediatric ED. Pre-BaSAT, a convenience sample of 50 patient records of children who had a burn was obtained from the hospital electronic database of 2007. The post-BaSAT sample included 50 randomly selected case notes from 2016/2017 that were part of another research project. Fisher's exact test and Mann-Whitney U tests were conducted to test for statistical significance. Results Pre-BaSAT, documentation of key data fields was poor. Post-BaSAT, this varied less between patients, and median completeness significantly (p<0.001) increased from 44% (IQR 4%–94%) to 96% (IQR 94%–100%). Information on ‘screening for maltreatment, referrals to social care and outcome’ was poorly recorded pre-BaSAT (median of 4% completed fields) and showed the greatest overall improvement (to 95%, p<0.001). Documentation of domestic violence at home and child’s ethnicity improved significantly (p<0.001) post-BaSAT; however, these were still not recorded in 36% and 56% of cases, respectively. Conclusion Introduction of the BaSAT significantly improved and standardised the key clinical data routinely recorded for children attending ED with a burn.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: BMJ Publishing Group
ISSN: 1472-0205
Date of Acceptance: 14 March 2020
Last Modified: 20 Jan 2021 15:14
URI: http://orca.cf.ac.uk/id/eprint/136253

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