Asthma Post-admission Quick Audit Template:

Short Version for Harrow Dr Mark L Levy12.8.2014 ©

This structured template is designed to assist doctors and nurses in doing a quick assessment reflecting care for patients who have been admitted to hospital for an episode of uncontrolled asthma.

The aim of this template is to help practices quickly determine whether there were preventable factors that could have helped this patient avoid this attack and therefore helped to avoided this admission. (There is another template which can be used prospectively when following up patients who are admitted in the future)

The key relevant findings of the National Review of Asthma Deaths were:

  • Excess prescription of SABAs (short acting relievers)
  • Insufficient prescription of Inhaled cortico-steroids (ICS)
  • Failure to provide a Personal Asthma Action Plan (PAAP)
  • Failure to assess asthma control; and to ensure control was achieved where this was poor.
  • Failure to assess and correct inhaler technique.

If any of these features were present in this case, (marked with **) the admission could have been prevented and steps should be taken in the care of patients with asthma in the practice.

To do this review:

Identify patients who have been admitted to hospital in the last few months. Alternatively select patients who have been treated in A&E or the UCC in the last few months.Complete the form below (some of the entries are simple tick boxes, simply click in the grey areas to mark or enter text) and then discuss the cases in peer groups.

Mark Levy

Harrow Respiratory Lead

for confidential correspondence and

………………………………………..………………………………………..………………………………………..

Name: GMC Number:

Date: / / Appraisal Year:

Patient initials: Confidential Identifier: Male: Female:
Admission Date: / Discharge date: /
Asthma treatment at the time of (ie just before) admission (From your records):
Preventer drug dose frequency device Not Known
Reliever drug dose frequency device Not Known
Spacer : Yes No Not Known
In the 12 months before admission:
How many reliever inhalers prescribed? (> 6 **)
How many preventer inhalers prescribed? (Insufficient for control **)
How many unscheduled attendances for asthma? (A/E; UCC)
How many unscheduled attendances for asthma? (Practice)
How many admissions?
Personal Asthma ActionPlan:Date Issued : / ; Never Issued:**
Date last revised: / Not Known
Date of last routine asthma review (before the admission): /
Was asthma control assessed? Yes No IDK/ no record **
If yes was his/her asthma : well controlled Poorly controlled
If poor control : was his/her asthma treatment increased or changed Yes No**
If good control: was his/her asthma treatment decreased or changed Yes No
Was his/her inhaler technique checked ? Yes No Not Known **
Was he/she provided with a peak flow meter? Yes No Not Known
In your opinion was this patients asthma managed according to the UK guidelines?
Yes No **Not Known ** If No describe : **
Final outcome and actions after peer group discussion:
Date discussed at appraisal: Signed by Appraiser:………………..