Child PIP The Child Healthcare Problem Identification Programme

Child PIP: The Child Healthcare Problem Identification Programme Saving Children in [hospital name: year] Saving Lives Through Death Auditing What is Child PIP ? The Child PIP Audit Loop Child PIP is a mortality review process that seeks to assess and improve the quality of care children receive in the SA health system. It provides the structure and tools for careful review of in-hospital paediatric deaths by: Identify deaths Implement plans Evaluate implementation • Ensuring all deaths are identified • Assigning a cause to each death Characterise the deaths Suggest solutions • Describing the context (social, nutritional and HIV) of each child who dies Attribute causes of death and find modifiable factors • Determining modifiable factors in the caring process for each child who dies Determine the size and nature of the problem Data are analysed using Child PIP software The Child PIP Audit System 1. The Mortality Review Process 2. Data Management • Paper • Software 3. Data Analysis • Software 4. Making Change Happen The analysis of Child PIP data provides information about: • the health profile of children who die • the quality of care they receive Age at death. . . including neonates Core data: [year] 54 046 Total monthly tally deaths 3 490 In-hospital mortality rate 6. 5 Audited deaths Total mod. factors (MFs) MF rate (per death) 4 287 8 739 2. 0 2004 2005 2006 2007 Nutrition Status (n = [total deaths]) Total admissions Growth of Child PIP What does Child PIP tell us? Prov 6 9 9 9 Sites 14 21 31 51 HIV Laboratory category (n=[total deaths]) Total audited deaths = 4 287 The disease profile is that of children living in poverty with [n]% the children dying in hospital being part of the HIV/AIDS pandemic Cause of death: all diagnoses (n=[total deaths]) HIV contribution to death (n=[total deaths]) “Had the process of care been different, would this death have been avoidable? ” (n=2109) [n]% of deaths HIV stage III and IV [year] Modifiable Factor Rate: Where? (n = [total modifiable factors]) Recommendations 1. HIV&AIDS – Prevent & Treatment Modifiable Factor Rate: Who? (n = [total modifiable factors]) 2. Nutrition – Clinic & Hospital 3. Standards of Care – Clinic & Hospital 4. Norms – Staffing, Equipment & Transport 5. Improving Quality of Care – Mortality review process: Child PIP For further information view website at www. childpip. org. za