This audit aims to collect information on all people 16 years+  admitted to hospital adult services with asthma attacks. Admission data, obtained from patient case notes, is collected and entered into a secure and bespoke audit web tool.

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https://www.hqip.org.uk/a-z-of-nca/national-asthma-and-copd-audit-programme-nacap/

This audit aims to collect information on all people admitted to hospital adult services with asthma attacks. Admission data, obtained from patient case notes, is collected and entered into a secure and bespoke audit web tool.

HDR UK

Data has been provided by the Healthcare Quality Improvement Partnership from the National Asthma and COPD Audit Programme

Arrival Date

Data fields for the Secondary care: Adult asthma Clinical audit dataset 2020

Secondary care: Adult asthma Clinical audit dataset 2020

Arrival Time

Was the patient transferred from another hospital?

Hospital Transfer

Departments in which patient received their first review and treatment: (Options: Emergency department/Medical admissions unit/Direct respiratory admission/Direct admission to other department/Admission from hospital outpatients)

First Department

NHS/CHI Number

Date Of birth

Patient Gender (Options: Male/Female/Transgender/Other/Not recorded or
Preferred not to say)

Gender

Postcode

What was the smoking status of the patient, as documented for the current admission? (Options: Never smoked/Ex-smoker/Current smoker/Current vaper/Current smoker and current vaper/Ex-smoker and current vaper/Never smoked and current vaper/Not recorded)

Smoking Status

What was the first recorded heart rate for the patient following arrival at hospital?

Heart Rate

What was the first recorded respiratory rate for the patient following arrival at hospital?

Respiratory Rate

What was the first recorded oxygen saturation (SpO2) measurement for the patient following arrival at hospital? (Options: Numeric value (___%) or radio button 'Not recorded')

Oxygen Saturation %

Was this measurement taken whilst the patient was on supplementary oxygen? (Options: Yes, No, Not recorded)

Supplementary oxygen

Was a peak flow measurement taken at any point during the patient’s admission?

Peak Flow Measurement

If yes, what was the first recorded peak flow measurement?

First Recorded Peak Flow

If yes, what was the date of first recorded peak flow measurement? (Options: Date or Not recorded)

Peak Flow Date

If yes, what was the time of the first recorded peak flow measurement? (Options: Time or Not recorded)

Peak Flow Time

What was the patient’s previous best PEF? (Options: Numeric value or Not recorded)

Previous Best Peak Flow

If previous best PEF = ‘Not recorded’ please give predicted PEF(Options: Numeric value or Not recorded)

Predicted Peak Flow

Was the patient reviewed by a respiratory specialist during their admission?

Specialist Respiratory Review

Date of first review by a member of the respiratory team

Review Date

Time of first review by a member of the respiratory team

Review Time

Was oxygen prescribed to a target range? (Options: Yes, Yes - but date/time not recorded, No)

Oxygen Prescribed Target Range

Oxygen Prescribed Date

Oxygen Prescribed Time

Was oxygen administered to the patient at any point during their admission?

Oxygen Administered

Was the patient administered systemic steroids (including oral or IV) following arrival at hospital? (Options: Yes or Not administered)

Steroids Administered

Steroids Date

Steroids Time

Was the patient administered systemic steroids in the 24 hours prior to their arrival at hospital for this asthma attack?

Steroids Administered 24 Hours Before Arrival

Was the patient administered β2 agonists prior to their arrival at hospital for this asthma attack? (Options: Yes – up to 1 hour prior to arrival, No)

B2 Agonists Before Arrival

Was the patient administered β2 agonists (including nebulised and MDI with spacers) following arrival at hospital? (Options: Yes or Not administered)

B2 Agonists After Arrival

B2 Agonists Date

B2 Agonists Time

Was the patient alive at discharge from your hospital? (Options: Alive or Died as inpatient)

Discharge Life Status

Discharge Date

Discharge Time

Was a discharge bundle completed for this admission? (Options: Yes, No, Self-discharge, Patient transferred to another hospital)

Discharge Bundle

Which of the following specific elements of good practice care were undertaken as part of the patient’s discharge? (Options: Inhaler technique checked, Maintenance medication reviewed, Adherence discussed, PAAP issued/reviewed, Triggers discussed, Tobacco dependency addressed, Community follow up requested within 2 working days, Specialist review requested within 4 weeks, None)

Discharge Elements

Was the patient in receipt of inhaled steroids at discharge? (Options: Yes, No, Not prescribed for medical reasons)

Discharge Inhaled Steroids

Was the patient prescribed at least 5 days of oral steroids for treatment of their asthma attack?

Discharge Oral Steroids

Has the patient been prescribed more than 2 courses of oral (rescue/emergency) steroids in the last 12 months? (Options: Yes, No, Not recorded)

National Asthma and COPD Audit (NACAP): Adult Asthma secondary care clinical

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