1. McQIC past, present, future
Linda Clerihew

2. SPSP
2007
SPSPP
2010
McQIC
2013
McQIC 2

3. Measuring Harm Paediatric Serious Harm Key Indicators
Paediatric Trigger Tool,
Avoidable Harm Tool
Datix, SER
complaints, feedback
The unreported
Aim
30% reduction in avoidable harm measured by the Paediatric Serious Harm Key Indicators by December 2015

4. Paediatric Serious Harm Key Indicators
Category
Operational Definition
Outcome measure of
Serious Safety Event
Datix >4
All
Serious Medication Event
Medicines safety
Unplanned Admission to ICU
All in hospital
Deteriorating patient
CLABSI
All healthcare
HAI
VAP
PICU only
Child protection harm
In development
MDT working

5. National Paediatric Early Warning Score
TESTING

8. The Huddle Bed state & prediction Staff state & prediction
Organisation safety threats
High PEWS/watchers;
child protection,
CAMHS
absconsion
Mitigation plan in place?

11. 2010 2011-2013 2015 Improvement Journey Have a good idea
Test in pilot area
Reliable pilot area
Spread
Reliable all areas
ImprovedOutcome
Improvement Journey
2010
2015

13. Yorkhill huddle data Delayed PICU discharges ( >4 hrs) halved
Patients spending >4 hrs in ED ↓ 75 patients/ month (96% to 98%)
Theatre cancellations due to no ward bed - halved
Cancellations due to lack of PICU bed - abolished
Predicted discharge accuracy improved from 34% to 72%
Don’t embed the link – just there for folks to refer to

14. Next 6 months 6 x ½ day networking events; Medicines management
Deteriorating patient/ HDU/ simulation/human factors
Child protection
Perioperative
Readmissions
Flow
Engaging different audiences

15. What’s next?

16. Adverse Drug Events (ADE)
Catheter Associated Urinary Tract Infections (CAUTI)
Central Line Associated Blood Stream Infections (CLABSI)
Falls
Pressure Ulcers
Readmissions
Surgical Site Infection (SSI)
Ventilator Associated Pneumonia (VAP)
Venous Thrombo Embolism (VTE)

17. UK collaborative
ADE
CLABSI
Readmissions

18. Why Children Die
Wolfe et al

19. McQIC maternity
McQIC
neonates
McQIC paediatrics
SPSP
mental health

21. Healthcare Amenable deaths

22. Why children die – recommended target areas
Infant deaths
Acute illness
Injuries and poisoning
Chronic disease
Civil society and government

23. Where does McQIC fit in? Chronic diseases Who is improving care?
Asthma
Epilepsy
Diabetes
Complex disability …
Clinical networks
Child death reviews
Where does McQIC fit in?