@article{ref1,
title="Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department",
journal="Emergency medicine journal",
year="2020",
author="Hepburn, Kirsty and Bennett, Verity and Kemp, Alison Mary and Hollén, Linda Irene and Nuttall, Diane and Roberts, Zoe and Farrell, David and Mullen, Stephen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: The Burns and Scalds Assessment Template (BaSAT) is an evidence-based proforma coproduced by researchers and ED staff with the aim of (1) standardising the assessment of children attending ED with a burn, (2) improving documentation and (3) screening for child maltreatment. This study aimed to test whether the BaSAT improved documentation of clinical, contributory and causal factors of children's burns. <br><br>METHODS: A retrospective before-and-after study compared the extent to which information was recorded for 37 data fields after the BaSAT was introduced in one paediatric ED. Pre-BaSAT, a convenience sample of 50 patient records of children who had a burn was obtained from the hospital electronic database of 2007. The post-BaSAT sample included 50 randomly selected case notes from 2016/2017 that were part of another research project. Fisher's exact test and Mann-Whitney U tests were conducted to test for statistical significance. <br><br>RESULTS: Pre-BaSAT, documentation of key data fields was poor. Post-BaSAT, this varied less between patients, and median completeness significantly (p<0.001) increased from 44% (IQR 4%-94%) to 96% (IQR 94%-100%). Information on 'screening for maltreatment, referrals to social care and outcome' was poorly recorded pre-BaSAT (median of 4% completed fields) and showed the greatest overall improvement (to 95%, p<0.001). Documentation of domestic violence at home and child's ethnicity improved significantly (p<0.001) post-BaSAT; however, these were still not recorded in 36% and 56% of cases, respectively. <br><br>CONCLUSION: Introduction of the BaSAT significantly improved and standardised the key clinical data routinely recorded for children attending ED with a burn.<br><br>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.<p /> <p>Language: en</p>",
language="en",
issn="1472-0205",
doi="10.1136/emermed-2019-208595",
url="http://dx.doi.org/10.1136/emermed-2019-208595"
}