Trends in road transport collision deaths in the Irish paediatric population: a retrospective review of mortality data, 1991–2015

Objective: To establish the incidence of road transport collision (RTC) fatalities in the Irish paediatric population, examining trends in fatality rates over a period of 25 years, during which several national road safety interventions were implemented.Study design: Retrospective review of death registration details of children 0-19 years in Ireland between January 1991 and December 2015. Trends in mortality rates were investigated using average annual per cent change and Poisson regression analysis.Results: Proportionate RTC mortality, the majority of which occurred on public roads (94.1%, n=1432) increased with age; Conclusion: Child and adolescent mortality from RTCs has declined dramatically in Ireland, in excess of reductions in overall paediatric mortality. However, rates remain higher than in other EU countries and further effort is required to reduce the number of deaths further, particularly among adolescent males.</div

National paediatric diabetes audit feasibility study report

Ireland has a high incidence of type 1 diabetes mellitus (T1DM), a chronic condition that places huge demands on affected individuals, their families, and the health service. Continuous and integrated multidisciplinary patient support is required to empower patients and caregivers to maximise self-management skills in order to achieve optimal diabetes control, which has been definitively shown to reduce the risk of acute and long-term diabetes-related complications. Paediatric T1DM care requires prioritisation because of its high incidence and the significant long-term sequelae of suboptimal care. No national paediatric diabetes audit (NPDA) exists in Ireland, and available data originate from single-centre, stand-alone, or retrospective studies. The lack of reliable data precludes healthcare professionals from making informed decisions about how to improve services, and means that disparities in paediatric diabetes care are neither identified nor prospectively addressed. A national audit of paediatric T1DM will highlight areas of good practice, identify deficits, and promote improvement in the quality of care delivery and data-driven resource allocation. The need for an NPDA was specifically emphasised in the Model of Care for All Children and Young People with Type 1 Diabetes.</div

Irish Paediatric Critical Care Audit National Report 2020: including a special chapter on COVID-19 and Paediatric Inflammatory Multisystem Syndrome (PIMS-TS) 2020–2022

The Irish Paediatric Critical Care Audit (IPCCA) collects personal, organisational, and clinical data on all infants and children with a clinically determined need for paediatric critical care. The audit database is provided by the Paediatric Intensive Care Audit Network (PICANet), which aims to support the continual improvement of paediatric intensive care provision throughout the United Kingdom (UK) and the Republic of Ireland (ROI) by providing detailed information on paediatric intensive  care  activity  and  outcomes.  The  quality  of  care  delivered  is  measured  against  the  Paediatric Critical Care Society (PCCS) standards, which cover the entire patient pathway from initial referral to paediatric critical care, specialist transport, and inpatient care.</p

Irish Paediatric Critical Care Audit National Report 2017-2019

The Paediatric Intensive Care Audit Network (PICANet) collects information on all patients admitted to paediatric critical care units in the United Kingdom (UK) and the Republic of Ireland (ROI). The objective of this data collection is to measure the quality of care in Paediatric Critical Care Units (PCCUs) and benchmark this against other PCCUs across the UK. Since 2009, reports for the ROI have been produced within PICANet UK in conjunction with the ROI PCCU clinical leads. In 2015, the audit of paediatric critical care was incorporated into the National Office of Clinical Audit (NOCA), which provides support through a clinical audit team and an independent voluntary governance structure.</p