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The problem
Intervention: Implementation of NICE-guided medical assessment and documentation protocol for self-inflicted head injuries
Who it was tested with: Children and adolescents admitted to inpatient CAMHS at one Greater Manchester hospital, November 2021.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"Incidents of self-inflicted head injury were identified on the incident logging system Ulysses. Incidents were matched to entries on Paris, the online clinical notes system. Data were collected from Paris on whether the incident was reviewed by a doctor, time until doctor review and which components of the NICE guidance were completed during the review." The audit systematically measured compliance with established national guidance standards and found substantial gaps in assessment and documentation practices.
Single-site audit over one month; does not assess causation of documentation gaps, staff knowledge, or clinical patient outcomes. Excludes one ward with alternative protocols.
Across countries and designs
1 study · 1 country
