Table 1.
Pneumonia care indicators used in PAQC score construction.
PAQCa score domain | Pneumonia care indicators | Binary indicators |
---|---|---|
1. Assessment Primary signs and symptoms (S&S) |
Cough, difficult breathing |
1: if both primary S&S are documented 0: if at least one is not documented |
Secondary S&S | Oxygen saturation, AVPUb, ability to drink, central cyanosis, grunting, respiratory rate and lower chest wall indrawing |
1: if all secondary S&S are documented 0: if at least one is not documented |
Complete assessment | All primary and secondary S&S |
1: if all are documented 0: if at least one S&S is not documented |
2. Diagnosis and classification | Pneumonia diagnosis and classification |
1: for correct diagnosis classification 0: incorrect diagnosis classification |
3. Treatment | Amoxicillin prescription |
1: if oral amoxicillin was prescribed 0: if amoxicillin was not prescribed or prescription is missing |
Amoxicillin dosage |
1: for correct dose, (i.e. if dose ranges between 32 and 48 (IU/Kg) every 12 h). 0: if dose is missing or < 32 IU/Kg (under dose) or >48 IU/Kg (overdose) or wrong frequency or missing frequency of administration or missing patient’s weight. |
Paediatric Admission Quality of Care.
A for Alert, V for Verbal response, P for pain, U for unresponsive.