Abstract
Background/aim
The objective of this study was to describe current surveillance platforms which support
routine quality measurement in paediatric critical care.
Method
Scoping review. The search strategy consisted of a traditional database and grey literature
search as well as expert consultation. Surveillance platforms were eligible for inclusion
if they collected measures of quality in critically ill children.
Results
The search strategy identified 21 surveillance platforms, collecting 57 unique outcome
(70%), process (23%), and structural (7%) quality measures. Hospital-associated infections
were the most commonly collected outcome measure across all platforms (n = 11; 52%).
In general, case definitions were not harmonised across platforms, with the exception
of nationally mandated hospital-associated infections (e.g., central line–associated
blood stream infection). Data collection relied on manual coding. Platforms typically
did not provide an evidence-based rationale for measures collected, with no identifiable
reports of co-designed, consensus-derived measures or consumer involvement in measure
selection or prioritisation.
Conclusions
Quality measurement in critically ill children lacks uniformity in definition which
limits local and international benchmarking. Current surveillance activities for critically
ill children focus heavily on outcome measurement, with process, structural, and patient-reported
measures largely overlooked. Long-term outcome measures were not routinely collected.
Harmonisation of paediatric intensive care unit quality measures is needed and can
be achieved using prioritisation and consensus/co-design methods.
Keywords
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Article info
Publication history
Published online: September 15, 2022
Accepted:
July 31,
2022
Received in revised form:
July 24,
2022
Received:
February 28,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
