Table 1

Description of care quality indicators and components of bundles

Indicator
ID
Bundle*Indicator description
ABDO01AChildren who presented with acute abdominal pain had their pain history documented (eg, onset, location, severity, progression, character).
ABDO02AChildren who presented with acute abdominal pain were screened for other associated features (eg, fever, cough, vomiting, pallor, lethargy, anorexia).
ABDO03AChildren who presented with acute abdominal pain were assessed for possible urinary tract infection (eg, offensive urine, dysuria, frequency).
ABDO04†Children who presented with acute abdominal pain had their gynaecological history documented.
ABDO05AChildren who presented with acute abdominal pain had their history of bowel movements documented (eg, stool pattern, stool quality (size, hard/soft, odour), constipation, diarrhoea).
ABDO06AChildren who presented with acute abdominal pain had their medical history documented (eg, surgical, medical, family and travel).
ABDO07BChildren who presented with acute abdominal pain had their vital signs (including HR and temperature) documented.
ABDO08BChildren who presented with acute abdominal pain had the severity of their dehydration (eg, absent, mild, moderate or severe dehydration) documented.
ABDO09BChildren who presented with acute abdominal pain received an abdominal assessment for tenderness (eg, local or generalised tenderness).
ABDO10BChildren who presented with acute abdominal pain received an abdominal assessment for signs of acute abdomen (eg, rebound, guarding or rigidity).
ABDO11BChildren who presented with acute abdominal pain had other abdominal findings (eg, masses, distention, palpable faeces, bowel sounds) documented.
ABDO12†Children who presented with acute abdominal pain received an assessment of their inguinoscrotal area (eg, swelling or tenderness).
ABDO13CChildren who presented with non-traumatic acute abdominal pain who do not require exclusion of a differential diagnosis of acute obstruction or perforation did not receive an abdominal X-ray or CT scan.
ABDO14CChildren who presented with non-traumatic acute abdominal pain, and NO bile (yellow or green) stained vomit, did not receive an abdominal X-ray or CT scan.
ABDO15CChildren who presented with non-traumatic acute abdominal pain, and NO suspected ingestion of radiopaque foreign objects, did not receive an abdominal X-ray or CT scan.
ABDO16‡Children who presented with acute severe abdominal pain were administered intravenous morphine or intranasal fentanyl.
ABDO17§Children who presented with acute mild abdominal pain, who require analgesia, were administered paracetamol or ibuprofen.
ABDO18Children who presented with acute abdominal pain who were moderately dehydrated had their blood sugar measured.
ABDO19Children who presented with acute abdominal pain who were severely dehydrated OR shocked had their electrolytes measured.
ABDO20Children who presented with acute abdominal pain who were severely dehydrated OR shocked had their blood sugar measured.
ABDO21Children who presented with acute abdominal pain who were severely dehydrated OR shocked received fluid resuscitation (initial bolus 20 mL/kg normal saline).
  • *Indicators were bundled into three bundles: A, B and C; not all indicators belonged to a bundle.

  • †ABDO04 restricted to females over the age of 10 years, ABDO12 restricted to males.

  • ‡Emergency department setting only.

  • §In the general practice (GP) setting this was interpreted as paracetamol or ibuprofen was ‘recommended’ as general practitioners generally do not administer analgesia.

  • HR, heart rate.