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Cardiac failure management audit – Frere Internal Medicine (previous results)

Date Site of audit Number of entries submitted BP recorded in clinician’s notes? Pulse rate recorded in clinician’s notes? Height of JVP recorded? Apex position recorded? Comment on apex character recorded? Echo findings recorded in notes? Echo EF% recorded in notes? Actual EF if recorded (%) Admission creatinine level Spironolactone on script? Enalapril on script? Carvedilol on script? Any other agents for heart failure? Any medications which could worsen heart failure? If on any medications which could worsen heart… Total daily dose of enalapril in mg (dose… Total daily dose of furosemide in mg (dose… Anything else observed?
13/02/2025 Frere Wards 10 Yes:10
No:0 		Yes:9
No:1 		Yes:1
No:9 		Yes:2
No:8 		Yes:1
No:9 		Yes:6
No:4 		Yes:9
No:1 		32.9, 47.0, 40.0, 15.2, 34.0, 22.7, 45.5, 31.0, 10.0, 38.2

Average:31.65%
Maximum:47%
Minimum:10%

 154, 78, 102, 182, 266, 69, 102, 55, 124, 190

Average:132.2
Maximum:266
Minimum:55

Yes:7
No:3 		Yes:10
No:0 		Yes:7
No:3 		Yes:9
No:1 		Yes:2
No:8 		Yes:0
No:0 		20, 5, 10, 5, 10, 10, 5, 5, 20, 20

Average:11mg
Maximum:20mg
Minimum:5mg

20, 80, 40, 200, 80, 160, 0, 80, 400, 240

Average:130mg
Maximum:400mg
Minimum:0mg

JVP indicated with an arrow – Allergy to Spironolactone, JVP increase indicated with an arrow, JVP indicated with an arrow, Note says displaced apex and JVP increased only
17/01/2024 Frere Wards 11 Yes:11
No:0 		Yes:10
No:1 		Yes:1
No:10 		Yes:0
No:11 		Yes:0
No:11 		Yes:4
No:7 		Yes:3
No:8 		58, 58, 35

Average:50.33%
Maximum:58%
Minimum:35%

 97, 107, 108, 86, 78, 112, 106, 106, 67

Average:96.33
Maximum:112
Minimum:67

Yes:9
No:2 		Yes:11
No:0 		Yes:6
No:5 		Yes:9
No:2 		Yes:0
No:11 		Yes:0
No:0 		10, 10, 10, 10, 5, 10, 10, 10, 10, 10, 10

Average:9.55mg
Maximum:10mg
Minimum:5mg

80, 40, 40, 80, 40, 80, 80, 80, 80, 80, 80

Average:69.09mg
Maximum:80mg
Minimum:40mg

No amount documented for fluid restriction, No negative findings, No, No, No, No, No, No, No
18/07/2023 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:4
No:6 		Yes:4
No:6 		Yes:0
No:10 		Yes:7
No:3 		Yes:8
No:2 		23, 37, 32, 55, 8, 11, 21, 69

Average:31.93%
Maximum:68.7%
Minimum:7.65%

 110, 88, 80, 66, 77, 72, 143, 98, 81, 56

Average:87.1
Maximum:143
Minimum:56

Yes:7
No:3 		Yes:6
No:4 		Yes:9
No:1 		Yes:7
No:3 		Yes:0
No:10 		Yes:0
No:0 		10, 10, 5, 10, 20, 10

Average:10.83mg
Maximum:20mg
Minimum:5mg

80, 40, 120, 80, 160, 40, 40, 240, 40, 80

Average:92mg
Maximum:240mg
Minimum:40mg

Echo not yet performed at time of audit, Echo not yet performed at the time of the audit, JVP height was stated as increased, no specific value in cm