Thirty years of ANZICS CORE: A clinical quality success story

Paul Secombe^{1

2

3}, Johnny Millar^{1

4}, Edward Litton^{1

5

6}, Shaila Chavan¹, Tamishta Hensman^{1

7}, Graeme K Hart^{8

9}, Anthony Slater¹⁰, Robert Herkes¹¹, Sue Huckson¹, David V Pilcher^{1

3

12}

Affiliations

¹ The Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation, High Street, Prahran, Victoria 3004, Australia.
² Department of Intensive Care, Alice Springs Hospital, Northern Territory 0870, Australia.
³ Australian and New Zealand Intensive Care Research Centre, Monash University, Victoria, 3004, Australia.
⁴ Department of Intensive Care, Royal Children's Hospital, Parkville, Victoria, 3052, Australia.
⁵ Department of Intensive Care, Fiona Stanley Hospital, Western Australia, Australia.
⁶ School of Medicine, University of Western Australia, Crawley, 6009, Perth, Western Australia, Australia.
⁷ Department of Intensive Care, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
⁸ Austin Health, Heidelberg, Victoria, Australia.
⁹ Centre for Digital Transformation of Health, University of Melbourne, Parkville, Victoria, Australia.
¹⁰ Department of Paediatric Intensive Care Medicine, Queensland Children's Hospital, South Brisbane, Queensland, 4010, Australia.
¹¹ Ramsay Health, Westbourne Str, St. Leonards, New South Wales, 2065, Australia.
¹² Department of Intensive Care, Alfred Health, Commercial Road, Prahran, Victoria 3004, Australia.

PMID: 37876992
PMCID: PMC10581273
DOI: 10.1016/j.ccrj.2023.04.009

Thirty years of ANZICS CORE: A clinical quality success story

Paul Secombe et al. Crit Care Resusc. 2023.

. 2023 May 20;25(1):43-46.

doi: 10.1016/j.ccrj.2023.04.009. eCollection 2023 Mar.

Authors

Affiliations

¹ The Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation, High Street, Prahran, Victoria 3004, Australia.
² Department of Intensive Care, Alice Springs Hospital, Northern Territory 0870, Australia.
³ Australian and New Zealand Intensive Care Research Centre, Monash University, Victoria, 3004, Australia.
⁴ Department of Intensive Care, Royal Children's Hospital, Parkville, Victoria, 3052, Australia.
⁵ Department of Intensive Care, Fiona Stanley Hospital, Western Australia, Australia.
⁶ School of Medicine, University of Western Australia, Crawley, 6009, Perth, Western Australia, Australia.
⁷ Department of Intensive Care, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.
⁸ Austin Health, Heidelberg, Victoria, Australia.
⁹ Centre for Digital Transformation of Health, University of Melbourne, Parkville, Victoria, Australia.
¹⁰ Department of Paediatric Intensive Care Medicine, Queensland Children's Hospital, South Brisbane, Queensland, 4010, Australia.
¹¹ Ramsay Health, Westbourne Str, St. Leonards, New South Wales, 2065, Australia.
¹² Department of Intensive Care, Alfred Health, Commercial Road, Prahran, Victoria 3004, Australia.

PMID: 37876992
PMCID: PMC10581273
DOI: 10.1016/j.ccrj.2023.04.009

Abstract

In 2023, the Australian and New Zealand Intensive Care Society (ANZICS) Registry run by the Centre for Outcomes and Resources Evaluation (CORE) turns 30 years old. It began with the Adult Patient Database, the Australian and New Zealand Paediatric Intensive Care Registry, and the Critical Care Resources Registry, and it now includes Central Line Associated Bloodstream Infections Registry, the Extra-Corporeal Membrane Oxygenation Database, and the Critical Health Resources Information System. The ANZICS Registry provides comparative case-mix reports, risk-adjusted clinical outcomes, process measures, and quality of care indicators to over 200 intensive care units describing more than 200 000 adult and paediatric admissions annually. The ANZICS CORE outlier management program has been a major contributor to the improved patient outcomes and provided significant cost savings to the healthcare sector. Over 200 peer-reviewed papers have been published using ANZICS Registry data. The ANZICS Registry was a vital source of information during the COVID-19 pandemic. Upcoming developments include reporting of long-term survival and patient-reported outcome and experience measures.

Keywords: APACHE; Australia; Benchmarking; Critical Illness; Extracorporeal Membrane Oxygenation; Patient Reported Outcome Measures; Policy; Registries; Surge Capacity; Workforce.

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Figures

**Fig. 1**
The growth of the ANZICS Registry over time. ANZICS, Australian and New Zealand Intensive Care Society; ANZPICR, Australian and New Zealand Paediatric Intensive Care Registry; ANZROD, Australian and New Zealand Risk of Death mortality prediction model; AORTIC, Australasian Outcomes Research Tool for Intensive Care; APD, Adult Patient Database; CCR, Critical Care Resources registry annual survey; CHRIS, Critical Health Resources Information System; CLABSI, Central Line Associated Bloodstream Infection Dataset; COMET, CORE Outcomes Monitoring and Evaluation Tool; ECMO, Extra-Corporeal Membrane Oxygenation Database; PIM, Paediatric Index of Mortality.

**Fig. 2**
In-hospital mortality of patients reported to the ANZICS Adult Patient Database over time. ANZICS, Australian and New Zealand Intensive Care Society.

See this image and copyright information in PMC

References

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Thirty years of ANZICS CORE: A clinical quality success story

Affiliations

Thirty years of ANZICS CORE: A clinical quality success story

Authors

Affiliations

Abstract

Figures

References

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