Patient Care Report (PCR)
Pre-Hospital Emergency Care Council (PHECC).
2005 commenced in the HSE national ambulance service and nationally over a six month period followed. Voluntary, Auxiliary and Private licensed CPG providers who operate an ambulance service commenced usage 2006 and completed 2008.
To facilitate:
1) a national framework to record accurate, complete and timely pre-hospital patient data which will provide a vital link in the continuum of patient care in the hospital/destination facility
2) robust national clinical audit
3) strategic planning
4) informs research into new skill, services/equipment.
2005/2006 (national statutory ambulance services)
2008 (Private, Auxiliary and Voluntary licensed CPG providers with an ambulance service).
The Patient Care Report (PCR) is the principal source of patient data collection pre-hospital from time of call receipt by the pre-hospital practitioner to handover of patient at ED/destination facility. In the event of an ambulance service not utilising the PHECC PCR; the PHECC Information standard contains the data set on which any alternative PCR is designed.
Pre-Hospital Emergency Care Practitioners, medical professionals, research groups.
The PCR collects patient demographic data, detailed patient assessment clinical data, medical interventions, medications administered, destination handover data, practitioner and administrative data.
Not available.
Information Standard details PCR data set.
IHI is included on a PCR.
Patient address is included.
Patient information is entered on the 2-part PCR in real time for every patient contact.
The PCR must be completed in all circumstances:
- All emergency calls
- All urgent calls
- All calls where a practitioner has to treat a patient
- All calls involving refusal of treatment and or transport contrary to the advice given by the practitioner
- All calls where patient is treated at scene and not transported.
Paper-based system:
A PCR copy is included in handover at the Emergency Department (ED)/destination facility and stored with the hospital record/chart. The remaining copy is returned to the licenced CPG provider organisation for storage.
ePCR also used by CPG Providers.
Clinical impression, mechanism of injury and incident location terminology are all compliant with ICD 10-AM.
Information not available to PHECC as patient records processed and controlled by the licensed CPG provider who operates an ambulance service.
No data published by PHECC on this data as PHECC publishes the standard and related patient report form only. PHECC has no oversight on data collected other than review of clinical audits submitted as a requirement of the annual licensed provider approval process.
Access to data through the individual licensed CPG provider who use the PCR.
No.
All PHECC information standards and related patient report forms are reviewed at least every three years to facilitate capture of care delivered in the pre-hospital environment by practitioners and compliance with national data collection standards.