Quality and Safety
PDS is committed to continuous improvement of the care and service that we deliver. We evaluate our performance through a robust quality and safety program, key elements include:
- Strong internal governance and leadership
- Accreditation by independent, external organisations
- Ensuring clinical quality and safety is the focus of all activities
- Sharing the responsibility for clinical excellence between the Executive, all clinical (including doctors) and non-clinical staff
- Engaging consumers in the design, delivery and evaluation of our services
- Continuous monitoring, review and improvement of measured outcomes
- Extensive benchmarking of performance measures with like facilities
- Listening and responding to feedback from patients, doctors and staff
- Publicly reporting important quality data
Working in partnership with our patients is fundamental to our model of care, which is why it’s important to us that patients have an understanding of the National Safety & Quality Healthcare Service Standards. The National Standards provide a framework for delivery of the best possible evidence-based care. The following information is an overview of each standard, what you can expect from us, and how you can play a part in improving your health outcomes.
CLINICAL GOVERNANCE (Standard 1)
Reporting on our Quality and Safety Systems
Measuring healthcare outcomes is an important part of analysing, benchmarking (comparing ourselves to other hospitals) and improving our care and service.
We record and investigate any instances we have or that may have the potential to do so. Whilst we take care to maintain staff and patient confidentiality by removing identifying details, reports of any unplanned adverse event are widely shared within Healthscope. We ensure that the staff involved, managers, senior doctors and the Governing Body, are all involved in the review process. This enables us to learn vital lessons, implement changes and reduce or prevent recurrence. If you suffer an unexpected outcome or harm whilst in hospital, our staff are trained to tell you about this in a way that is consistent with the Australian Open Disclosure Framework.
Listening to Feedback:
We actively seek your comments, concerns and compliments and we invite you to discuss any questions or concerns with our staff at any time.
If you are not sure who to speak with or you need to speak with someone more senior, please ask to speak with the DON (Director of Nursing) who will be able to assist you.
All feedback is taken seriously. If you have a complaint, it will be fully investigated, and you will receive a formal response.
PARTNERING WITH CONSUMERS (STANDARD 2)
Patient Centred Care:
A core part of our philosophy is to provide care that is Patient Centred, which means driven by and focused on individual patient’s needs. Our model of patient centred care includes:
- Continuity of care & smooth transitions through the healthcare system
- Individualised care planning
- Patient education & support for self-care
- Patient involvement in decision making
- Emotional support, empathy & respect
- Involvement of, and support for, family & carers
- Attention to physical & environmental needs
Partners in Decision Making:
As a patient you play an essential role in the healthcare team; being actively involved in decision making improves the quality of your healthcare outcomes.
- What are my options?
- What are the benefits and harms?
- How likely are these?
Advanced Care Planning:
If you have an Advance Care Directive or Advance Care Plan, please let us know prior to your admission. We require a copy of this document for your medical record.
PREVENTING AND CONTROLLING HEALTHCARE ASSOCIATED INFECTIONS (STANDARD 3)
Our Infection control program is based on a broad range of strategies that include building design and maintenance, environmental cleaning, robust sterilisation processes, safe disposal of clinical waste, effective use of antibiotics, staff education according to best practice principles, and an active surveillance program. However, the single most important measure in reducing hospital acquired infection is hand hygiene.
Hand hygiene is a general term that covers both hand washing with soap and water, and the use of alcohol-based hand rub. Our staff are trained to perform hand hygiene in accordance with World Health Organisation guidelines, and patients will be aware of hand gel at each bedside area. Please do not hesitate to remind or check with staff about performing hand hygiene.
This describes measures we take to protect you from contamination during clinical procedures such as surgery, insertion of medical devices (such as an intravenous cannula), performing a wound dressing, and during the administration of intravenous medications.
Our staff undergo training and assessments to ensure their aseptic technique is of a very high standard.
MEDICATION SAFETY (STANDARD 4)
We have strict guidelines for the prescription and administration of medications that aim to minimise the risk of medication error. For example, our nursing staff will ask for your name, date of birth and allergies each time they administer a medication to you. They will confirm your identity against your medication chart and your hospital identification band. Medication administration requires concentration from the nursing staff and interruptions have been shown to increase the risk of error.
COMPREHENSIVE CARE (STANDARD 5)
You and your Healthcare team are partners in reducing the risks associated with needing an admission to hospital. Throughout your admission, nurses will assess your clinical status and risk of developing known complications. If you are at risk of developing a complication, this will be discussed with you and a treatment plan developed to minimise your risks.
Reducing the Risk of Blood Clots:
If you are in hospital you are at a much higher risk of developing a blood clot in your leg or lung. Your doctor & nurses may use one or two methods for reducing the risk of forming blood clots: medication or mechanical prevention. Your doctor will decide which is the most appropriate for you – not all patients will require intervention.
Preventing and Managing Pressure Injuries:
In hospital your risk of developing a pressure area is increased. The Clinical staff manage this risk during surgery using the best practice guidelines for positioning of a patient.
Preventing Falls and Harm from Falls:
In hospital, your risk of falling, tripping or slipping is increased and you will be surprised at how easy it can be. In addition to the risk of injury, falling over can affect confidence and increase the fear of further falls, making it harder to stay independent. The staff will advise you in managing your risk of falling.
COMMUNICATION AND SAFETY (STANDARD 6)
All inpatients are required to wear identification bands, which will be either red or white. A RED band will inform staff that you have an ‘ALERT’ such as a medication allergy or, for example, a history of difficulty with anaesthetics. Please leave your identification band intact until formally discharged from hospital. We are required to check your identity not only for medication administration but prior to performing procedures. Sometimes patients find this repetitive, but it is an important part of our systems for keeping you safe and making sure we are providing the correct treatment to the correct patient.
Effective communication between clinical staff is essential for providing you with coordinated and high-quality care. Clinical handover is the transfer of information and responsibility for your care between one person or team to another. You are invited to participate by clarifying the information passed on, asking questions if needed, and making requests that address your particular needs.
BLOOD TRANSFUSIONS (STANDARD 7)
Not applicable to Pittwater Day Surgery.
RESPONDING TO CLINICAL DETERIORATION (STANDARD 8)
Our staff are trained to recognise and respond to any change in your condition. If you should deteriorate, we have systems in place to ensure you receive immediate attention from the most appropriate medical and nursing staff. We support patient and relative involvement and recognise