Service evaluation and retrospective audit of electronic HEEADSSS (e-HEEADSSS) screening device in paediatric inpatient service in Western Australia
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Chia Saw
,
Alide Smit
Abstract
Objectives
The top causes of adolescents’ mortality in Australia and worldwide are mostly preventable and many stem from psychosocial difficulties. The HEEADSSS screening is a widely accepted screening tool in assessing young people’s psychosocial wellbeing. This retrospective audit was done to evaluate the service implementation of an electronic-HEEADSSS (e-HEEADSSS) screening system in a regional hospital’s paediatric in-patient setting in Western Australia. The aim is to examine and compare the uptake rate of conventional HEEADSSS screening in 2018 and e-HEEADSSS screening in 2019, and to examine the relevant outcome and disclosure rate by the young person.
Methods
This retrospective audit (pre-post cross sectional study) is reported using the STROBE guideline. It was done over two different time frames: Pre e-HEEADSSS implementation (September–December 2018) and Post e-HEEADSSS implementation (September–December 2019). Inclusion criteria includes: All paediatric inpatients aged 12–16 years old. Exclusion criteria includes: Admission under other disciplines or clinically unstable/unsuitable patients. The uptake rate of conventional-HEEADSSS (2018) in comparison to e-HEEADSSS screening (2019) was examined. Other relevant data was extracted and analysed.
Results
The sample size pre-implementation was 26 while post-implementation was 24. The uptake rate increased from 12% (conventional-HEEADSSS) to 54% (e-HEEADSSS), a 450% increment with the e-HEEADSSS system implementation (Fisher Exact Test, p=0.005). More than half of young people who completed their e-HEEADSSS screening had concerns/flags which required management by the clinicians. 86% of patients in the e-HEEADSSS group with concerns/flags were acted appropriately by the treating clinicians prior to discharge. The overall disclosure rate of e-HEEADSSS was 93% with highest disclosure rate for ‘Drugs’ domain.
Conclusions
There is significant increase in uptake rate with high disclosure rate using e-HEEADSSS screening device when compared to conventional HEEADSSS screening in the paediatric in-patient setting. The e-HEEADSSS is a better screening tool for in-patient setting and should be implemented widely.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Conflict of Interest: None to Declare.
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Ethical Approval: This project was submitted for approval to the Ramsay Health Care WA/SA HREC committee and was considered to meet criteria for quality assurance and none research and did not require review by the WA/SA HREC committee. Letter of approval was granted on 10th January 2020.
References
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Artikel in diesem Heft
- Frontmatter
- Reviews
- Pooled prevalence estimates of malocclusion among Indian children and adolescents: a systematic review and meta-analysis
- Nutrition knowledge and its relation with dietary behaviour in children and adolescents: a systematic review
- Original Articles
- Water polo-related injuries among adolescents and young adults treated at emergency departments
- Service evaluation and retrospective audit of electronic HEEADSSS (e-HEEADSSS) screening device in paediatric inpatient service in Western Australia
- Association between intelligent quotient and oral health conditions among 13–15 year old intellectually disabled children
- To be or not to be in the social media arena? The perspective of healthcare providers working within adolescent and young adult oncology in Switzerland
- Human papillomavirus vaccine series follow-through: comparison of four clinics in an academic medical center
- Oral health knowledge, attitude and practice among adolescents in Kuwait
- Identifying challenges in promoting adolescent preventive health care in the primary care setting of urban Japan
- Health profile with body mass index and physical fitness in Swedish adolescents: a cross-sectional study
- Psychodermatologic pathology in adolescents: findings from the Colombian National Mental Health Survey
- Association between sitting posture on school furniture and spinal changes in adolescents
- Influence of dietary and activity patterns on weight status of Ukrainian school aged children
- A national guideline for youth-friendly health services developed by chronically ill young people and health care professionals – a Delphi study
