Why How When In addition to failsafe What These are the reasons we are This is how you might do This is how often we This is what we recommend recommending this this recommend you you do undertake the action/check Confirmed screen positive To ensure timely discussion of Have a communication Weekly Submit annual data result; have systems to make options and onward referral for process in place between for IDPS standard 5 sure: women with a screen positive laboratory and the Submit quarterly the laboratory records the result. screening team for direct data for KPI ID2 confirmed result on the IT notification and recording of system We have evidence from screening receipt of result the laboratory contacts the safety incidents of: Annual audit of screening team directly to inappropriate reporting and Check that all women with a standard 5 to inform them of the result management of results positive result are offered a establish why some women should be invited for delay in discussion and face to face discussion women with screen specialist assessment within referral of screen positive within 10 working days of positive results 10 working days of the women result of the results by the (including known positive result being delayed diagnosis and/or screening team and infections- see available to the maternity treatment document attendance or above) are not seen service decline and reason for within 10 working results are documented in decline days of availability of the maternity records the positive result Complete a neonatal alert to women who are hepatitis B identify babies who will positive (new and high need neonatal assessment infectivity) should be seen and treatment by a specialist within 6 weeks of the positive result
What This is what we recommend you do Why These are the reasons we are recommending this How This is how you might do this When This is how often we recommend you undertake the action/check In addition to failsafe Confirmed screen positive result; have systems to make sure: the laboratory records the confirmed result on the IT system the laboratory contacts the screening team directly to inform them of the result women should be invited for specialist assessment within 10 working days of the positive result being available to the maternity service results are documented in the maternity records women who are hepatitis B positive (new and high infectivity) should be seen by a specialist within 6 weeks of the positive result To ensure timely discussion of options and onward referral for women with a screen positive result. We have evidence from screening safety incidents of: inappropriate reporting and management of results delay in discussion and referral of screen positive women delayed diagnosis and/or treatment Have a communication process in place between laboratory and the screening team for direct notification and recording of receipt of result Check that all women with a positive result are offered a face to face discussion within 10 working days of result of the results by the screening team and document attendance or decline and reason for decline Complete a neonatal alert to identify babies who will need neonatal assessment and treatment Weekly Submit annual data for IDPS standard 5 Submit quarterly data for KPI ID2 Annual audit of standard 5 to establish why some women with screen positive results (including known infections- see above) are not seen within 10 working days of availability of the positive result
Infectious_diseases_in_pregnancy_screening_checks_and_audits_template.docx