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.
Abstract

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