Community Update on Safety and Quality in Health Care at ......- You can encourage your visitors to...
Transcript of Community Update on Safety and Quality in Health Care at ......- You can encourage your visitors to...
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Royal Hospital for Women Year: 2017
Community Update on Safety and Quality in Health Care
at the Royal Hospital for Women
Introduction Hand Hygiene
Medication Safety Falls
How can you help?
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Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Introduction
Hand Hygiene
Medication Safety
Falls
How can you help?
Introduction
This Community Update is designed to provide the community
and consumers with information on the progress of the Royal
Hospital for Women across three key areas: hand hygiene,
medication safety and falls.
We believe that engaging the community and partnering with
patients, families and carers as team members improves quality
in health care. An important driver of quality is safety: avoiding
or reducing potential harm in health care. In this Community
Update we provide you with information and practical ways to
help improve the care you receive.
Kind Regards,
Vanessa Madunic, General Manager
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Royal Hospital for Women Year: 2017
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Royal Hospital for Women
Year: 2017
How well do we keep our hands clean in the Royal Hospital for
Women?
Recent data shows that our health care staff are cleaning their hands
87.3% of the time when providing care for patients. This includes
doctors, nurses, physiotherapists, ward clerks and ward staff. The
South East Sydney Local Health District Average in 2017 was 83%,
New South Wales was 84.8% and the National benchmark is 83.8%.
Why is this important?
Better hand hygiene by health care staff helps to reduce the spread
of infection in hospitals. Avoiding infections is one way to help people
get better and go home quicker.
Hand hygiene is the use of alcohol-based hand rub or soap and water
to clean hands properly. There are five key times when a health care
worker caring for a patient should clean their hands. These five times,
identified by the National Hand Hygiene Initiative, are:
1. Before touching a patient
2. Before a procedure
3. After a procedure or body fluid exposure
4. After touching a patient
5. After touching a patient’s surroundings
Hand Hygiene
Introduction
Hand Hygiene
Medication Safety
Falls
How can you help? ?
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Hand Hygiene Graphs
Royal Hospital for Women
Year: 2017
76
78
80
82
84
86
88
90
92
2015 2016 2017
Conpliance Rates period 1st July to 31 November 2017
RHW SESLHD NSW National
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Royal Hospital for Women
Year: 2017
What is happening with Medication Safety in the Royal
Hospital for Women?
A study in 2009 found that about 2-3 percent of Australian hospital
admissions are medication-related. Research tells us that harm
associated with medication remains the second most common type
of incident in hospitals. Health services are also reviewing
medication safety.
In the Royal Hospital for Women each medication error is thoroughly
investigated with the aim of further reducing the error rate.
Why is this important?
Medication is given to almost every patient treated in hospital. For
many, medication is the most important part of their overall medical
treatment. Research also tells us that medication is not without risk
and occasionally medications can cause harm.
Some harm caused by medicines is due to errors that are
preventable. By understanding what contributes to these errors,
taking action, and sharing this information with the community and
health professionals, we can help prevent others from being harmed
by medications.
Medication Safety
Introduction
Hand Hygiene
Medication Safety
Falls
How can you help? ?
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
RHW Medication Errors by Occupied Bed Days
30.6
1.27 1.47 1.84 1.73 1.21
0
5
10
15
20
25
30
35
1
%
Medication Errors per thousand separations
SESLHD 2017
2013 RHW
2014 RHW
2015 RHW
2016 RHW
2017 RHW
Year: 2013
Medication Safety Graphs
Year: 2017
Royal Hospital for Women
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Medication Safety Graphs
Royal Hospital for Women
Year: 2013
Royal Hospital for Women
Year: 2013 How well are we managing falls in the Royal Hospital for
Women?
In NSW hip fractures resulting from falls have decreased between
the years 2004 and 2010, whilst people over the age of 65 years
being admitted to hospitals for a fall has increased. Falls can also
happen whilst you are in hospital and can result in you fearing
further falls, making it harder for you to stay independent.
In the Royal Hospital for Women, our rate of patient falls is
significantly less than the National average. However, falls have
significantly reduced last year compared to the same period the
previous year.
Mothers are also at an increased risk of falling asleep while breast
feeding after a long labour and delivery. Babies can roll off the bed
and fall onto the floor when this happens.
The Royal Hospital for Women has put in place strategies to educate
mothers about this risk and we have reduced our rate of baby falls
by 80%.
Why is this important?
Falls injury can be prevented, even in frail older people and whilst
some cause no harm, others can cause serious injury.
People fall for a range of reasons, including poor balance, poor
eyesight, some medications, confusion, delirium, incontinence,
unsafe footwear, unfamiliar environments and obstacles.
Sometimes this injury leads to being admitted to hospital and
changes in lifestyle.
We also need to be aware of the risk of falling when in hospital as a
patient.
Falls
Introduction
Hand Hygiene
Medication Safety
Falls
How can you help? ?
Year: 2017
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
RHW Falls by Occupied Bed Days
Adult/OBD Baby/OBD
SESLHD 2017 35.9
2011 RHW 0.3810 0.05
2012 RHW 0.1850 0.13
2013 RHW 0.6563 0.16
2014 RHW 0.1314 0.03
2015 RHW 0.3428 0.04
2016 RHW 0.1969 0.02
2017 RHW 0.2814 0.02
35.9
0
5
10
15
20
25
30
35
40
%
Year
Falls per thousand separationsSESLHD 2017
2011 RHW
2012 RHW
2013 RHW
2014 RHW
2015 RHW
2016 RHW
2017 RHW
Falls Graphs
Year: 2017 Royal Hospital for Women
Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality
Year: 2017
Hand Hygiene
- You can ask doctors, nurses or other health care staff if they have
cleaned their hands.
- You can encourage your visitors to clean their hands each time
they enter the hospital and enter or leave your room.
- You can ask your visitors never to touch your wounds, dressings,
or other equipment being used to treat you.
Medication Safety
- You can keep a list of regular medications you take and bring the
list to hospital with you
- You can ask nurses, doctors and pharmacists about the medication
you are being given.
- You or your family or carer can ask nurses, doctors and
pharmacists for information on any new medications and changes
in medication.
Falls
If you feel at risk of falling, you should inform nurses, doctors and
other health professionals.
You and your family or carer can ask to be included in the
development of a falls prevention care plan.
How can you help?
Introduction
Hand Hygiene
Medication Safety
Falls
How can you help? ?
Royal Hospital for Women