JUNE 2022
EDITION 15
Health services monitor population growth and demographics of the local area to deliver appropriate care in the right settings, e.g. maternity services in areas matched with demand. The RNS ICU team introduced interventions to reduce the need for unnecessary Arterial Blood Gas Testing, without demonstrable negative effects on patient outcomes. Patient benefits include the avoidance of anaemia, reduced risk of infections and improved patient experience. Mental Health consumers with physical health vulnerabilities due to long term medication use are provided with the appropriate physical health screening, assessment and interventions to optimise their health. Frailty is known by clinicians to be a significant contributor to poorer health outcomes, extended hospital stays and surgery cancellations. Numerous initiatives across the district have been introduced to improve screening for frailness in patients at highest risk. How effective and appropriate are your everyday processes and interactions? There are many examples of NSLHD initiatives which have been introduced that improves delivery of effective and appropriate care. Here are just some examples. Can you think of more? Foundations of Safety and Quality e-learning pathway on My Health Learning (course code 335318052) The Safety and Quality Essentials Pathway (CEC) NSLHD Quality Improvement Intranet page. Want to learn more? Enrol in the next one-day
EFFECTIVENESS AND APPROPRIATENESS
In this edition, let's dive deeper into another of the six dimensions of healthcare quality .
Effective healthcare focuses on providing services and treatments based on evidence-based practice to all who could benefit. Appropriate care is when the right evidence-based care is provided by the right providers, to the right patient, in the right place, at the right time, resulting in optimal quality care. Our patients, consumers and carers expect that the health care and treatment they receive is based on the best available evidence (including symptoms and any test results), their needs and personal preferences. Effective or appropriate care can also mean not providing tests, medications, treatments or services to those not likely to benefit from them. Over-treatment can cause stress and anxiety in patients, add to their costs and can impact their quality of life e.g. unnecessary blood transfusions. Under treatment can occur when care is inconsistent with best practice. For example, not performing risk screening or acting on the results of routine risk screening or not providing appropriate peri-operative antibiotics when they are indicated. To provide truly appropriate care , we need to reflect on, challenge and reduce unnecessary over treatment and under treatment that can occur in our healthcare system.
Improvement Science workshop . Spaces are limited. Enrol via MHL (course code 42956746). Join in on a monthly Improvement Science Drop in Clinic
Contact: Cathy.Vinters@health.nsw.gov.au or Catherine.Rosario@health.nsw.gov.au (Clinical Reliability Improvement Facilitators, Clinical Governance)
Clinical Governance Standard
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