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Hospital, infants and feeding: The importance of audit
Lesley Alison Williams1, Robert S Ware2,3, Peter S W Davies1
1Children's Nutrition Research Centre, Queensland Children's Medical Research Institute, University of Queensland, Brisbane, Queensland, Australia.
Insights
Infant feeding history documentation is often missing in hospital records. Comprehensive feeding details are crucial for understanding infant health outcomes and hospital admissions.
Area of Science:
- Pediatric Medicine
- Clinical Documentation
- Infant Health
Background:
- Infant feeding practices significantly influence health outcomes.
- Hospital admissions for infants can be linked to feeding issues.
- Accurate documentation of infant feeding is essential for clinical care.
Purpose of the Study:
- To assess the completeness of infant feeding history documentation in pediatric hospital charts.
- To identify the extent to which feeding mode, type, and frequency are recorded.
- To determine if infant age affects feeding documentation.
Main Methods:
- A systematic random sample of 465 infant hospital charts was audited.
- The audit focused on the period between July 1, 2011, and June 30, 2012.
- Documentation of feeding mode, type, frequency, and changes was assessed.
Main Results:
- Feeding mode was documented in 57% of charts, feeding type in 49%, and feeding frequency in 26%.
- Documentation of feeding changes since birth was recorded in only 19% of cases.
- Older infants showed significantly less frequent recording of feeding details.
Conclusions:
- Many infant hospital presentations lack comprehensive feeding history documentation.
- Incomplete feeding records hinder the analysis of feeding's role in infant health issues.
- Standardized recording of infant feeding is recommended to improve clinical insights.
Aim:
Infant feeding can be the reason for presentation and/or admission to hospital. The aim of this study was to identify if infant feeding history was documented in charts of infants presenting and/or admitted to a paediatric hospital.
Methods:
A systematic random sample of hospital charts of infants who had presented to the emergency department between 1 July 2011 and 30 June 2012 was audited for presence of documentation of feeding.
Results:
In total, 465 charts were audited, representing 12.5% of infants who presented to the emergency department in the year. Frequency of documentation for feeding measures was as follows: feeding mode, 263 (57%); feeding type, 228 (49%); feeding frequency, 119 (26%); and with changes 89 (19%) since birth. Increasing infant age was significantly associated with less frequent recording of feeding mode, type, frequency and changes.
Conclusion:
A comprehensive feeding history is not recorded on many occasions of infant presentation and/or admission to hospital. The recording of feeding mode, type, frequency and changes is needed in order to explore the existence, or otherwise, of a relationship between feeding and the reason for presentation and/or admission.
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