13 Accreditation criteria. It is one method to ensure that appropriate Preventing Falls and standards of care are provided by health Harm from Falls services. The Australian Council Falls prevention processes on Healthcare Standards’ have been reviewed, resulting Preventing and periodic review (an in an updated procedure, onsite survey which education package, Managing takes place midway assessment and management Pressure Injuries through the accreditation tools for the organisation. All cycle) took place at the clinical areas were involved in Eye and this review. A focus of the falls For the period July 2012 to June Ear in December 2012. working group 2013 there was one pressure The surveyors reviewed has been to look at ways to assist injury reported at the Eye and all mandatory clinical, Emergency Department staff to Ear. A focus of the working group support and corporate identify patients who are at risk has been to look at the criteria, as well as the of falling and to have a range of processes in place in theatre to recommendations made strategies which can be put in identify at-risk patients and to put following an place quickly and simply in this strategies in place to minimise organisation- wide busy environment. the chance of pressure injuries survey conducted occurring. in 2010. Accreditation is a process whereby The Eye and Ear received an an organisation ‘outstanding achievement’ is assessed by external surveyors against a set of systems, seven 4% 4% 48% ‘extensive achievements’ 4% and seven ‘marked achievements’. 7% All recommendations from the previous organisation- wide review, which occurred in 2010, were actioned and closed. There were further 33% made during n=27 periodic review and these are currently being addressed. Over the last 12 Patient falls by location months we have introduced adult deterioration detection July 2012–June 2013 charts, a program to control Ward 8 the use of antibiotics and Emergency Department for optimal patient outcomes Special Eye Clinic OPD Level 4 Emergency Department OPD AOS in infection prevention. Clinic Medihotel Ambulance Bay prevent bacterial resistance, and further education on aseptic technique and an auditing program to ensure adherence to the program
13 Accreditation Preventing and Managing Pressure Injuries For the period July 2012 to June 2013 there was one pressure injury reported at the Eye and Ear. A focus of the working group has been to look at the processes in place in theatre to identify at-risk patients and to put strategies in place to minimise the chance of pressure injuries occurring. Preventing Falls and Harm from Falls Falls prevention processes have been reviewed, resulting in an updated procedure, education package, assessment and management tools for the organisation. All clinical areas were involved in this review. A focus of the falls working group has been to look at ways to assist Emergency Department staff to identify patients who are at risk of falling and to have a range of strategies which can be put in place quickly and simply in this busy environment. Accreditation is a process whereby an organisation is assessed by external surveyors against a set of criteria. It is one method to ensure that appropriate standards of care are provided by health services. The Australian Council on Healthcare Standards’ periodic review (an onsite survey which takes place midway through the accreditation cycle) took place at the Eye and Ear in December 2012. The surveyors reviewed all mandatory clinical, support and corporate criteria, as well as the recommendations made following an organisation- wide survey conducted in 2010. The Eye and Ear received an ‘outstanding achievement’ 4% 4% 4% 7% 48% systems, seven ‘extensive achievements’ and seven ‘marked achievements’. All recommendations from the previous organisation- wide review, which occurred in 2010, were actioned and closed. There were further 33% Patient falls by location July 2012–June 2013 Ward 8 Emergency Department n=27 made during periodic review and these are currently being addressed. Over the last 12 months we have introduced adult deterioration detection charts, a program to control the use of antibiotics and Special Eye Clinic OPD Level 4 Emergency Department OPD AOS Clinic Medihotel Ambulance Bay prevent bacterial resistance, and further education on aseptic technique and an auditing program to ensure adherence to the program for optimal patient outcomes in infection prevention.
257031_Quality_of_Care_2013_Word.docx