Yoong, S. Y. and Spencer, Nick, 1943-. (2008) A data collection system to audit post-newborn hearing surveillance programme : problems and possibilities. Child: Care, Health and Development, Vol.34 (No.5). pp. 648-656. ISSN 0305-1862

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Abstract

Background Guidance documents on post-newborn hearing surveillance and screen (Sutton et al. 2006 Bamford et al. 2007) indicated the need for a wider system to identify children with hearing loss after neonatal hearing screening. Recommendations were made for systems to be in place for recording screening activity and audit of the school entry hearing screen to provide information on coverage, referral and yield. Method This project has two phases: development of the data collection system for audit; assess local service performance. The focus of the work was on data entered into the child health system from children eligible for universal infant and school entry hearing screen. Linking information from a paediatric register of hearing impaired children allowed analysis of birth cohort data related to new diagnoses of sensorineural hearing loss. Available guidelines have not specified gold standards for coverage rates and locally endorsed benchmarks were set at 80% as minimum standards. Analysis of data was carried out on 2003, 2004, 2005, 1998, 1999 and 2000 birth cohorts. The child health system and the paediatric register were the main data sources for the audit exercises. Data extracted were computed for coverage, referral and yield. Results Factors and situations contributing to difficulties in establishing a robust system were identified and addressed. Usable information could be obtained to influence current practice. Coverage rates for 2003, 2004 and 2005 cohort were 64.7%, 78.1% and 73.1%. Their respective referral rates were 1.4%, 1.2% and 2.6%. Coverage rates for 1998, 1999 and 2000 cohort were 74.9%, 75.6% and 71.4%. Their respective referral rates were 5.2%, 4.2% and 6.6%. The overall yield from universal screens was low. Conclusion Our study showed that it was achievable to collect and analyse data on childhood hearing loss in the context of routine surveillance. There were, however, limitations to analysis of data and findings have to be interpreted with this in mind.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics
Divisions:	Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH):	Hearing disorders in infants -- Diagnosis -- Great Britain, Newborn infants -- Medical examinations, Medical audit
Journal or Publication Title:	Child: Care, Health and Development
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	0305-1862
Date:	September 2008
Volume:	Vol.34
Number:	No.5
Number of Pages:	9
Page Range:	pp. 648-656
Identification Number:	10.1111/j.1365-2214.2008.00854.x
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
References:	Bamford, J., Fortnum, H., Bristow, K., Smith, J., Vamvakas, G., Davies, L., Taylor, R., Watkin, P., Fonseca, S., Davis, A. & Hino, S. (2007) Current practice, accuracy, effectiveness and cost effectiveness of the school entry hearing screen. Health Technology Assessment, 11, 1–188. Department of Health (DoH) (1996) Promoting Clinical Effectiveness: A Framework for Action in and through the NHS. DoH, London, UK. Department of Health (DoH) (2007) Improving Access to Audiology services in England. DoH, London, UK. Department of Health (DoH), Scottish Office (1998) NHS Management Executive, Clinical Governance, NHS MEL 75th edn, DoH, Edinburgh, UK. Fortnum, H. M., Summerfield, A., Marshall, D., Davis, A. & Bamford, I. (2001) Prevalence of permanent childhood hearing impairment in the United Kingdom and implications for universal neonatal hearing screen: questionnaire based ascertainment study. British Medical Journal, 323, 536–540. Hall, D. & Elliman, D. (2003) Health for All Children, 4th edn. Oxford University Press, Oxford, UK. Penney, G. & Pearson, D. (2000) A national audit to monitor and promote the uptake of clinical guidelines in the management of diabetes in pregnancy. British Journal of Clinical Governance, 2000, 28–34. Sutton, G., (ed), Green, R., Parker, G., Robertson, C., Sirimanna, T., Uus, K. & Wood, S. (2006) Guidelines for Surveillance and Audiological Monitoring of Infants & Children Following Newborn Hearing Screen. Version 3.1. NHS Newborn Hearing Screening and Assessment & University of Manchester, Manchester, UK. Available at: http://hearing.screening.nhs.uk/surveillance (last accessed 8 May 2008). Sutton, G. J. & Scanlon, P. E. (1999) Health visitors screening vs. vigilance: outcomes of programme for detecting permanent childhood hearing loss in West Berkshire. British Journal of Audiology, 33, 145–156.
URI:	http://wrap.warwick.ac.uk/id/eprint/29592

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