Irish Paediatric Critical Care Audit (IPCCA)
National Office of Clinical Audit (NOCA).
2015
The overall purpose of the IPCCA is to improve critical care services provided to paediatric patients by measuring the quality of care and outcomes against predetermined standards, using data from the UK and the Republic of Ireland (ROI) as a whole as a benchmark.
Objectives:
In scope:
Out of scope:
National audit with data collection from public hospitals with Paediatric critical care units, the regional Paediatric High Dependency Unit at University Hospital Limerick (UHL) and children aged 16 treated in adult ICU.
Under consideration: regional paediatric high dependency units and intensive care units.
Coverage is based on patient’s discharge date from ICU and must be within the calendar year for example 1/1/22-31/12/22.
This audit provides a complete account of activity and outcomes in all paediatric intensive care units providing critical care to children in the ROI. In addition to data from specialised paediatric critical care units and from transfer and retrieval services that traditionally provide data to PICANet (based in the UK), this audit also includes data from adult ICUs and the regional Paediatric High Dependency Unit at UHL, giving a complete description of national activity.
Patients and their parents and carers, patient advocacy groups, healthcare professionals, hospital managers and hospital groups, multidisciplinary teams (MDTs) caring for patients in PCCUs or ICUs, policy-makers.
- Admission data: each child’s demographic details, including their date of birth, ethnicity and sex. The PICANet database also collects details about where children are admitted from, their date of admission, their clinical diagnoses, and some physiological parameters on admission to PCCU, including arterial blood gas results, blood pressure, medical history and ventilation status. Data on outcome and discharge details are also included. The medical interventions that each child receives each day are also recorded as part of the audit
- Referral data: These include details of the referring hospital, demographic details about the child, the grade of the referring doctor or nurse, the transport team involved, and the destination PCCU
- Transport data: These include details about the transport team, journey times, any interventions carried out, and critical incidents.
https://www.picanet.org.uk/data-collection/data-manuals-and-guidance/
Full list of data set points is available from NOCA at auditinfo@noca.ie
No national identifiers are included.
Yes, each child’s demographic details, including their date of birth, ethnicity and sex.
Each hospital/ transport organisation submits data to PICANet via a secure web-based portal.
Data submission can involve direct entry of patient data or monthly upload of a data file from an existing clinical information system. The dataset is frozen on 31 March annually.
Data for children admitted to adult ICU’s is provided by NOCA’s INICUA ICNARC dataset.
SNOMED CT.
CT3 The Read diagnostic codes.
On average data on ~1500 admission records per annum.
NOCA produces national reports at regular intervals.
PICANet produces annual audit reports, which monitor activity, and makes comparisons over a 3-year reporting period for PCCUs across England, Scotland, Wales, Northern Ireland (NI) and the ROI.
https://www.noca.ie/about-noca/access-to-audit-data
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