October 2022 - Foresight Newsletter

OCTOBER 2022

EDITION 19

NSLHD CLINICAL AUDIT SCHEDULE

The NSLHD Clinical Audit Schedule has been developed for all sites and services within NSLHD to support the monitoring and evaluation of clinical care processes and to provide support for clinical quality improvement activities across NSLHD. Download the complete 2022-23 NSLHD Clinical Audit Schedule. Note: The Schedule is divided into three categories (NSLHD acute, sub-acute, MHDA and PACH). Visit the clinical audit intranet page for more information.

Clinical audits required to be completed this month and next month are listed below.

October 2022 QARS Audits (entry links)

NSLHD_01_Documentation Audit_September - November 2022 (RNSH | HKH | Ryde | MV | Virtual Hospital) NSW MRN 01.16 Maternity Continuum Documentation NSLHD_1_Maternity_Safe Sleeping for Babies (RNSH | HKH)

St 1

NSLHD_3_Infection Prevention Control Program compliance NSLHD_03_Transmission Based Precautions NSLHD_04_Prescription Pad: Quality of Prescribing NSLHD_04_ Prescription Pad: Storage and handling NSLHD_4_Accountable Drug (S4D S8) Register v2.2 NSLHD_4_VTE Prevention for admitted patients NSLHD_5_Nutrition Audit NSLHD_05_Communication and Care Cues - Cognitive Impairment

St 3

St 4

St 5

St 7

NSLHD Blood & blood product transfusion documentation

NLSHD_08_Monthly inspection for resuscitation trolley/ Resuscitaire equipment checklists (RNSH | HKH | Ryde | MV | MHDA | PACH)

St 8

POLICIES, PROCEDURES AND GUIDELINES New, updated and recently published district-wide PPGs.

Clinical Governance Standard

Click on the links below to download documents from the Prompt document system. Refer to the NSLHD weekly bulletin in your inbox to access the most up-to-date list of PPGs

Lithium Therapy Management Guideline MHDA Sudden Unexpected Death in Infancy (SUDI) Management Medicated Dressing Policy - NSLHD

LESSONS LEARNED FROM SERIOUS ADVERSE EVENT REVIEWS

Clinical Governance Standard

Did you know that the Clinical Excellence Commission shares findings from serious incidents that have occurred across NSW to aid in reducing preventable risk of a similar event occurring to another patient? Recent publications include: Lessons and learnings from Mental Health and Alcohol and Other Drugs Serious Incident Reviews - September 2022 (CEC) More publications are available from the lessons learned intranet page. The scenarios depicted in the publications have been drawn from a variety of cases across NSW in order to maintain the confidentiality of consumers and staff. It is acknowledged that the issues identified in these cases represents a small portion of care.

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