National Audit of Dementia 2012-13,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Data field description for case note audit data table,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Data field position,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54 Data field,Trust,Hospital,Start period,End period,Number cases requested,Number cases submitted,Patient died (%),Max lengh stay (days),Median length stay (days),Min length stay (days),Mental health history recorded (%) ,Assessment includes problem list (%),Assessment includes comorbid conditions (%),Record of current medication (%),Assessment of mobility (%),Assessment of nutritional status (%),Pressure sore risk assessment (%),Continence needs (%),Presence of any pain (%),Assessment of functioning (%),Mental status test (%),Assessment presence of delirium (%),Care assessment by a social worker identified (%),Assessment of support provided to the person ‘informally’ (%),Formal care provision assessment (%),Financial support assessment (%),Home safety assessment (%),section dedicated to collecting information about the patient (%),Antipsychotic drugs during admission (%),"Antipsychotics due to an existing prescription (%) regular prescription ",A PRN prescription for antipsychotics in place (%),"PRN administered during the admission (%, routed from previous question)",A new or additional prescription of antipsychotic (%),Referall made to liaison psychiatry,Information about person's dementia quickly found (%),Related care and support needs quickly found (%),Number of case notes included in the discharge section,Patient's level of cognitive impairment summarised and recorded at discharge (%),Cause of cognitive impairment summarised and recorded at discharge (%),Symptoms of delirium summarised for discharge (%),Symptoms of BPSD summarised for discharge (%),Named person coordinated the discharge plan (%),Appropriate place of discharge and support needs discussed with the person with dementia (%),Appropriate place of discharge and support needs discussed with the person's carer/relative (%),Appropriate place of discharge and support needs discussed with consultant (%),Appropriate place of discharge and support needs discussed with MDT (%),A single plan for discharge produced (%),Support needs are documented in discharge plan (%),Patient and/or carer received a copy of discharge plan (%),Discharge planning initiated within 24 hours (%),Notice of discharge: 2448 hours (%),Notice of discharge: 24 hours (%),Notice of discharge: Less than 24 hours (%),Notice of discharge: More than 48 hours (%),Notice of discharge: not documented (%),Assessment of the carer’s needs (%) Data field description,Trust name,Hospital name,Start period for audit,End period for audit,Total number of case notes requested,Number of case notes submitted by the hospital,Patient died during admission,Length of stay (maximum number of days),Length of stay (median number of days),Length of stay (minimum number of days),The patient’s mental health history has been recorded ,The multidisciplinary assessment includes problem list,The multidisciplinary assessment includes comorbid conditions,"The assessment includes a record of current medication, including dosage and frequency",An assessment of mobility was performed by a healthcare professional,An assessment of nutritional status was performed by a healthcare professional,A formal pressure sore risk assessment has been carried out and score recorded,The patient has been asked about any continence needs,The patient has been asked about the presence of any pain,"An assessment of functioning, using a standardised assessment, has been carried out",A standardised mental status test has been carried out,An assessment has been carried out for recent changes or fluctuation in behaviour that may indicate the presence of delirium,A need for a care assessment by a social worker has been identified,An assessment of support provided to the person ‘informally’ was carried out,A formal care provision assessment was carried out,A financial support assessment was carried out,A home safety assessment was carried out,"The care assessment contain a section dedicated to collecting information from the carer, next of kin or a person who knows the patient well",The patient had antipsychotic drugs at any point during admission ,"On admission, the patient was taking antipsychotics due to an existing regular prescription ",A PRN prescription for antipsychotics was in place for the admission,"If a PRN for antipsychotics was in place, it was administered during the admission",A new or additional prescription was made for an antipsychotic,A referall to liaison psychiatry was made,Information about the person's dementia can be quickly found in a specified place in the file,Information about related care and support needs can be quickly found in a specified place in the file,Number of case notes included in the discharge section,"At the point of discharge the patient's level of cognitive impairment, using a standardised assessment, was summarised and recorded",At the point of discharge the cause of cognitive impairment was summarised and recorded,"Patients who had symptoms of delirium, had these summarised for discharge",Patients who had symptoms of behavioural and psychiatric symptoms of dementia had these summarised for discharge,A named person coordinated the discharge plan,The discharge coordinator/person planning discharge has discussed appropriate place of discharge and support needs with the person with dementia,The discharge coordinator/person planning discharge has discussed appropriate place of discharge and support needs with the person's carer/relative,The discharge coordinator/person planning discharge has discussed appropriate place of discharge and support needs with the consultant responsible for the patient’s care,The discharge coordinator/person planning discharge has discussed appropriate place of discharge and support needs with other members of the multidisciplinary team,A single plan for discharge with clear updated information was produced,Any support needs that have been identified are documented in the discharge plan or summary,The patient and/or carer received a copy of the plan or summary,Discharge planning was initiated within 24 hours of admission,24-48 hours notice of discharge was given to carers or family,24 hours notice of discharge was given to carers or family,Less than 24 hours notice of discharge was given to carers or family,More than 24 hours notice of discharge was given to carers or family,The notice of discharge given to carers and family was not documented,An assessment of the carer’s current needs has taken place in advance of discharge Data field type,Text,Text,Date,Date,Integer,Integer,Percentage,Integer,Integer,Integer,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage,Percentage Data field format,Text,Text,dd/mm/yyyy,dd/mm/yyyy,Integer,Integer,Rounded percentage,Integer,Integer,Integer,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage,Rounded percentage How null data are handled,"Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" ""","Null = "" """ ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Uploaded: July 2013,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Contact: nad@cru.rcpsych.ac.uk,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,