English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

This audit demonstrates on-going difficulties achieving current standards of in-patient care for children and young people with diabetes. There is a lack of 24 hour on-call service in majority of the paediatric diabetes units. There needs to be standardisation across the region and feasibility of implementation needs to be explored. Sixty three per cent of the units, consisting of 2 tertiary and 8 secondary care units, responded. Paediatric wards and EDs in all units had protocols for management of new diagnosis of diabetes, diabetic ketoacidosis (DKA), hypoglycaemia and surgery. The following table illustrates availability of protocols. An important part of diabetes management is maintaining high standards of in-patient care. The first inpatient standards for management of children with diabetes were set and audited in the South of England in 20111. Deficiencies highlighted were: lack of dietetic advice on wards, lack of education sessions for ED and ward staff and lack of contact with diabetes team especially for overnight admissions Nine out of 10 units had paediatric nurses in areas where children were cared for, but only the tertiary centres had a trained paediatric nurse in the emergency department (ED) on every shift. A 24 hour on-call service was only provided by 40% of the units. The diabetes team was usually contacted within 2 hours of an admission in tertiary centres and within 24 hours in secondary care units. Paediatric diabetes specialist nurses (DSN) had an active role in in-patient management in all units.

In-patient care for children with type 1 diabetes across hospitals in the Yorkshire and Humber region in the north of England