JUNE 2022
EDITION 15
IMPROVEMENT SCIENCE DROP-IN CLINICS
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 is listed below.
Monthly "drop-in" clinics are open to anyone undertaking an improvement project or has an interest in resources and tools to run a successful improvement project. Staff can join in virtually via the MS teams meeting (see the link to flyer below). The first 30-40 minutes will be dedicated to a specific topic and the following 20-30 minutes will be open to staff who have any questions or concerns about their projects, the direction the project is heading, or barriers they have come across and how to overcome them. Refer to the Drop-in clinics 2022 flyer to access the link to join the online MS teams meeting and view future scheduled topics. Watch previously recorded drop-in clinic sessions focusing on topics such as writing up your project for an award entry and how do I know if my changes are an improvement? Contact: Cathy.Vinters@health.nsw.gov.au or Catherine.Rosario@health.nsw.gov.au (Clinical Reliability Improvement Facilitators, Clinical Governance)
June 2022 QARS Audit (entry link)
NSLHD_2022 Aboriginal Cultural Engagement Self- Assessment Audit Tool (ACESAAT) PACH Clinical Documentation Record Audit 2022
St 1
St 3
NSLHD_03_Aseptic Technique
NSLHD_4_Monthly Accountable Drug (S4D_S8) Register Audit (RNSH | HKH | Ryde | MV | MHDA) NSLHD_05_ Perioperative Patient Positioning (RNSH | HKH | Ryde) NLSHD_08_Monthly inspection for resuscitation trolley/ Resuscitaire equipment checklists NSLHD_8_Standard Adult General Observation chart (BTF Audit) (PACH | HKH | Ryde | MV | MHDA) (RNSH | HKH | Ryde | MV | MHDA | PACH)
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St 5
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
Cleaning Patient Care Equipment Infection Prevention and Control - NSLHD Guideline Management of Hypertension in Pregnancy - NSLHD Guideline Newborn Resuscitation - NSLHD Guideline Oral Hygiene and Denture care (adults) - NSLHD Procedure Post-operative Nausea and Vomiting Management – Adults-NSLHD Guideline Risk Mitigation - Standard and Transmission-Based Precautions - NSLHD Guideline Personal Protective Equipment (PPE) Requirements - NSLHD Guideline Hand Hygiene - NSLHD Guideline
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 from Serious Adverse Event Reviews (SAER) in MHDA services across NSW - April 2022 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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