Governance for Safety and Quality in Health Care A large component of National Standard one is Over the past twelve months, the hospital has clinical governance. Clinical governance is a broad coordinated an organisational wide approach to term used for the systems, structures and processes, meet all of the National Standards. which ensure the Eye and Ear delivers safe, quality care. We have completed a review of any gaps and organised working groups with our staff and Clinical governance exists throughout every facet consumers to ensure action is put in place to of the workings of the Eye and Ear. It can be meet these safety priorities. found in the and This work has included the introduction of: organisation’s policies, procedures guidelines, in the committees responsible for Standardised handover programs to ensure − reviewing particular quality and safety issues, in key patient management plans are adhered to performance indicators and in the regular monitoring and follow up care is coordinated and of data. Once a safety issue is flagged, action needs responsive to occur to decrease any risk to patients and improve Observation charts with standardised − our responsiveness. escalation processes required if the patient’s During the past twelve months the Eye and Ear condition meets certain parameters has implemented a number of new initiatives Formalised mandatory training programs for staff − including: for a number of modules including blood The implementation of bedside auditing to management, pressure injury management, − measure key aspects of patient care, to ensure patient assessment, medication safety, that care delivery is safe, systematic and processes of aseptic technique and hand streamlined across all areas of the organisation hygiene The introduction of a business intelligence A revised governance structure to ensure − − system to provide automation of safety and consumers and staff are involved in the activities quality indicators, enabling staff to help drive to meet the standards, including the change communication, education and improvement with greater efficiency programs. Part of our governance program includes reporting to external bodies including:
Governance for Safety and Quality in Health Care Over the past twelve months, the hospital has coordinated an organisational wide approach to meet all of the National Standards. We have completed a review of any gaps and organised working groups with our staff and consumers to ensure action is put in place to meet these safety priorities. This work has included the introduction of: − Standardised handover programs to ensure patient management plans are adhered to and follow up care is coordinated and responsive − Observation charts with standardised escalation processes required if the patient’s condition meets certain parameters − Formalised mandatory training programs for staff for a number of modules including blood management, pressure injury management, patient assessment, medication safety, processes of aseptic technique and hand hygiene − A revised governance structure to ensure consumers and staff are involved in the activities to meet the standards, including the communication, education and improvement programs. A large component of National Standard one is clinical governance. Clinical governance is a broad term used for the systems, structures and processes, which ensure the Eye and Ear delivers safe, quality care. Clinical governance exists throughout every facet of the workings of the Eye and Ear. It can be found in the organisation’s policies, procedures and guidelines, in the committees responsible for reviewing particular quality and safety issues, in key performance indicators and in the regular monitoring of data. Once a safety issue is flagged, action needs to occur to decrease any risk to patients and improve our responsiveness. During the past twelve months the Eye and Ear has implemented a number of new initiatives including: − The implementation of bedside auditing to measure key aspects of patient care, to ensure that care delivery is safe, systematic and streamlined across all areas of the organisation − The introduction of a business intelligence system to provide automation of safety and quality indicators, enabling staff to help drive change with greater efficiency Part of our governance program includes reporting to external bodies including: