An ICU Audit nurse will collect ICU Audit data in each unit. This post will usually be filled by an experienced ICU Nurse from the unit involved. The ICU Audit Nurse will be supported by the National ICU Audit Coordinator in the NOCA office.
The National Data set will involve three components:
- The Casemix programme data set, which will be modified for Irish use, and sent for benchmarking to the Intensive Care National Audit and Research Centre (ICNARC) in the UK. An ICNARC report is sent back to each Unit on a quarterly basis. https://www.icnarc.org/
- A local data set particular to the need of each individual hospital
- A data set which will support HIPE (Hospital In-Patient Enquiry) coding in each hospital.
Each hospital will maintain a copy of the raw data within each Unit. This data can be accessed and analysed as appropriate by local clinicians.
ICNARC reports will be sent quarterly to the ICU Director in each hospital. The reports will allow each Unit to benchmark outcomes for their Unit against UK outcomes and against other Irish Units. All data will be anonymised. Any issues should be dealt with within each Unit by their own Governance structures and standard approach for Quality Assurance.
ICNARC will publish an annual National ICU Audit report, which will benchmark the performance of Irish ICUs against each other and against the UK comparator. Again all data will be anonymised. If issues arise regarding unsatisfactory outcomes, these will be dealt with by the ICU Audit Governance Committee.
NOCA provide funding to support the Paediatric Intensive Care Audit Network (PICANet) in Ireland and governance is provided by the National ICU Audit Governance Committee. Data is collected from paediatric intensive care patients across the UK and Ireland. In Ireland, Our Lady’s Children’s Hospital, Crumlin and Temple Street Children’s University Hospital currently contribute data to PICANet.