There are 1.6 million children and young people aged 0-17 years who live in NSW, comprising approximately 23% of the state's population1. In 2017, there were nearly 2.9 million Emergency Department visits to NSW public hospitals, with 22% of these visits being children2. Additionally there were nearly 2 million inpatient admissions with children representing close to 12% of all inpatient admissions3. Approximately 1 in 10 clinical incidents reported in the Incident Information Management System (IIMS) involves children and young people under 20 years of age.
The health care needs of children can be very different to those from adults. Normal ranges for standard observations vary greatly between different age groups, the dose of medications can vary by factors of ten or more and there can be a greater concern and emotional involvement from parents and caregivers.
The Paediatric Patient Safety Program works across a range of areas to improve the quality and safety of health care for children and young people in NSW. It:
- Provides a centralised contact point for clinicians and NSW Health organisations to discuss children's health care quality and safety issues
- Ensures paediatric issues are addressed at a State level and appropriately incorporated into CEC programs
- Works in partnership with the NSW Ministry of Health and all pillars to provide a voice for paediatric quality and safety issues
- Collaborates with Children's Healthcare Australasia on a number of quality and safety initiatives.
In collaboration with the NSW Chief Paediatrician, the program has established two State level committees - the Paediatric Safety and Quality Network Committee, and the Children and Young People Root Cause Analysis Review Sub-Committee. These committees bring together expert clinicians to discuss key paediatric quality and safety issues in NSW.
Paediatric Safety and Quality Network Committee
This committee addresses systemic paediatric safety and quality issues in the NSW health system. It brings together experts to discuss emerging issues in Paediatric Quality and Safety and work on joint solutions. It is co-chaired by the CEC Paediatric Patient Safety Program Director and the NSW Chief Paediatrician.
Children and Young People Root Cause Analysis Review Sub-Committee
This committee is a sub-committee of the Clinical Risk Action Group. Its purpose is to analyse trends and themes from RCA reports relating to children and young people under 16 years of age. This process enables emerging themes, risks and trends to be identified for further investigation and action leading to state-wide solutions for children and young people. It is co-chaired by the CEC Paediatric Patient Safety Program Director and the NSW Chief Paediatrician.
Paediatric Clinical Pearls of Wisdom
The Paediatric Clinical Pearls of Wisdom is a collection of insights or "Things I wish I knew when I was a Junior Clinician…" written by paediatric experts. These 'Pearls' are simple prompts designed to guide and assist clinicians in the timely recognition, diagnosis and management of the sick child.
Paediatric Watch - Lessons from the Frontline
While we know how or why critical events occurred, as a system we need to improve the way we share these findings to reduce the risk of a similar event occurring to another patient. It is widely agreed that as a health system we need to improve the way in which we share the lessons from serious incidents, especially with the clinicians at the bedside.
To improve this communication, the Clinical Excellence Commission now circulates a regular publication "Paediatric Watch - Lessons from the Frontline". This simple one page document takes the learnings from a de-identified critical incident (or incidents) and highlights opportunities to improve care for children and young people. You can view all the Paediatric Watch editions below.
2018 Paediatric Watch Newsletters
2017 Paediatric Watch Newsletters
- 5/17 Deterioration of a developmentally delayed child...
- 4/17 Matters of the Heart
- 3/17 SEPSIS in a heartbeat: Never ignore persistent...
- 2/17 Falls: Keep them safe
- 1/17 SEPSIS KILLS: Time is Life…
2016 Paediatric Watch Newsletters
- 5/16 Avoiding Oesophageal Intubation - "Gold is good"
- 4/16 Kids Medication Safety How independent are you?
- 3/16 Kids Medication Safety involves U 2
- 2/16 Anaphylaxis - how would you react?
- 1/16 What's the 'point' of medication safety?
- Source: 2011 Census of Population and Housing, Australian Bureau of Statistics.
- Source: Emergency Department Data Collection, Secure Analytics for Population health Research and Intelligence (SAPHaRI), Centre for Epidemiology and Evidence, NSW Ministry of Health, downloaded on 25-Sep-2018.
- Source: Admitted Patient Data Collection, Secure Analytics for Population Health Research and Intelligence (SAPHaRI), Centre for Epidemiology and Evidence, NSW Ministry of Health, downloaded on 25-Sep-2018.