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Fever in under 5s [QS64]

Measuring the use of this guidance

Statement: 1

Infants and children under 5 years with unexplained fever have their risk of serious illness assessed and recorded using the traffic light system.

Quality standard measure: Proportion of infants and children under 5 years with unexplained fever who have their risk of serious illness assessed and recorded using the traffic light system.
What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint and without apparent source of infection who were assessed as per NICE feverish child traffic light guidance.
Data collection end: January 2019
69%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.


Statement: 2

Infants and children under 5 years who are seen in person by a healthcare professional have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded if fever is suspected

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Proportion of patients presenting with a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
Data collection end: January 2014
62%
Area covered: Local
Source: Andrews A (2015) The assessment and management of the febrile child under five in the primary care setting. Archives of Disease in Childhood, Conference (var.pagings): April

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Percentage of emergency department notes where the vital sign 'temperature' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Percentage of emergency department notes where the vital sign 'heart rate' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Percentage of emergency department notes where the vital sign 'respiratory rate' was recorded.
Data collection end: March 2016
89%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Percentage of emergency department notes where the vital sign 'capillary refill time' was recorded.
Data collection end: March 2016
53%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose respiratory rate was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
54%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose pulse was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
55%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded.
Data collection end: January 2019
38%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.

Quality standard measure: Proportion of infants and children under 5 years seen by a healthcare professional and suspected of having a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint whose temperature was measured and recorded within 15 minutes of arrival.
Data collection end: January 2019
55%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.


Statement: 4

Parents and carers who are advised that they can care for an infant or child under 5 years with unexplained fever at home are given safety net advice, including information on when to seek further help.

Quality standard measure: Proportion of infants and children under 5 years with unexplained fever who are being cared for at home after assessment by a healthcare professional, whose parents and carers are given safety net advice, including information on when to seek further help.
What was measured: Proportion of children aged under 5 presenting to an emergency department with fever or febrile illness as part of their presenting complaint who were discharged with appropriate 'safety net' provided, including information to take home.
Data collection end: January 2019
67%
Area covered: UK
Source: Royal College of Emergency Medicine. Feverish Child.



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