Appropriate access 9.1 The rosters demonstrate there is ED only – 24-hour access to more senior emergency Document review IA +ED Onsite to specialist appropriate access to more senior consultation, general surgery, orthopaedics, general consultation emergency services consultation and medicine, anaesthesia, intensive care and paediatrics other specialist consultation Evidence of contact list for external specialists Regional collaboration agreement re access to specialists/telemedicine Appropriate access 10.1 The rosters demonstrate there is ED only- 24 hour per day access to pathology, radiology Document review Onsite IA +ED to support services appropriate access to support services and operating theatres Staff culture in the 10.1 Workforce Culture at the ED/UCC Workforce culture/Staff satisfaction evaluation and Document review Offsite/Onsite IA ED/UCC is at an level is assessed, analysed and analysis for ED/UCC Staff interview. acceptable level responded to sick leave rate analysis for ED/UCC turnover rate analysis for ED/UCC RISK MANAGEMENT Risk identification 12.1 The ED/UCC undertakes the Risk profile or register for ED/UCC includes clinical risks Review risk Onsite IA and assessment identification and analysis of risks register occurrs regularly (including clinical) 12.2 Data (e.g. incident data, clinical Risk documentation Staff interview. Onsite IA+ED audits, waiting time data, literature) is Document review used to inform the identification of risks and selection of appropriate controls.
Appropriate access to specialist consultation 9.1 The rosters demonstrate there is appropriate access to more senior emergency services consultation and other specialist consultation ED only – 24-hour access to more senior emergency consultation, general surgery, orthopaedics, general medicine, anaesthesia, intensive care and paediatrics Evidence of contact list for external specialists Regional collaboration agreement re access to specialists/telemedicine Document review Onsite IA +ED Appropriate access to support services 10.1 The rosters demonstrate there is appropriate access to support services ED only- 24 hour per day access to pathology, radiology and operating theatres Document review Onsite IA +ED Staff culture in the ED/UCC is at an acceptable level 10.1 Workforce Culture at the ED/UCC level is assessed, analysed and responded to Workforce culture/Staff satisfaction evaluation and analysis for ED/UCC sick leave rate analysis for ED/UCC turnover rate analysis for ED/UCC Document review Staff interview. Offsite/Onsite IA RISK MANAGEMENT Risk identification and assessment occurrs regularly 12.1 The ED/UCC undertakes the identification and analysis of risks (including clinical) Risk profile or register for ED/UCC includes clinical risks Review risk register Onsite IA 12.2 Data (e.g. incident data, clinical audits, waiting time data, literature) is used to inform the identification of risks and selection of appropriate controls. Risk documentation Staff interview. Document review Onsite IA+ED
vmia_ecucc_internal_audit_tool_consultation_d17-114744.docx