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Full-cycle audit of the RCEM Best Practice Guidelines for the ingestion of super strong magnets in children using data from a UK prospective observational study

Schaffer, Sierra; Neville, Jonathan J; Hall, Nigel J; (2025) Full-cycle audit of the RCEM Best Practice Guidelines for the ingestion of super strong magnets in children using data from a UK prospective observational study. Archives of Disease in Childhood 10.1136/archdischild-2024-327729. (In press). Green open access

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Abstract

Strong rare-earth magnet ingestion by children is dangerous. Multiple magnets can attract one another from different parts of the gastrointestinal tract to cause obstruction, fistulation or perforation. The incidence of paediatric magnet ingestions appears to be increasing. In response to this hazard, the Royal College of Emergency Medicine (RCEM) Best Practice Guidelines were published in 2021 to provide management recommendations for children presenting to the emergency department after ingesting strong magnets. In order to evaluate the adherence of these guidelines in clinical practice we audited the guidelines using a national dataset from a prospective observational study of paediatric magnet ingestion. Eight audit standards were derived from the RCEM Best Practice Guideline for the purposes of this study.

Type: Article
Title: Full-cycle audit of the RCEM Best Practice Guidelines for the ingestion of super strong magnets in children using data from a UK prospective observational study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/archdischild-2024-327729
Publisher version: https://doi.org/10.1136/archdischild-2024-327729
Language: English
Additional information: This version is the author-accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10204878
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