OCTOBER 2024
EDITION 35
The NSW Healthcare Safety and Quality Capabilities set describes the key knowledge, skills, and behaviours expected of NSW Health employees to engage in safety and quality improvement. Below are some examples demonstrating the adept level capability that participants of the Applied Safety and Quality Program look to develop and gain. What does having an adept level safety and quality capability look like?
Manage clinical incidents and risk Be able to explain the legislation and regulatory processes and policies relevant to incident reviews and clinical risk management to the team Lead unit or service-level incident reviews Monitor and meet requirements regarding the organisation’s safety and quality accreditation process and other safety assurance activities Track unit or service-level clinical risk and environmental hazard analyses and recommendations
Contribute to high reliability
Understand the concepts:
The elements of a safety culture Safety I and Safety II Hierarchy of the effectiveness of interventions Build teams with effective communication, psychological safety and demonstration of respectful behaviour. Discuss the interaction of safety and efficiency with team members to identify risks and to ensure reliability of service delivery Use of Safety Fundamentals, or local equivalent in your unit or service Monitor and use safety and quality data over time to ensure reliable service delivery in your unit or service
Uphold a safety culture
Manage individual factors that influence performance at work Lead open discussions on how to support each other when involved in incidents and where to access organisational physical and psychological wellbeing resources Follow up with staff who have been involved in incidents regardingongoing need for support Practise self-reflection and emotional regulation, and understand the impact of own and other’s emotions and physical feelings on safety Critical reflection of own cognitive biases and how they influence decisions, behaviours and actions at work Role-model reflective practice by facilitating discussions about learning for improvement Lead open discussions about how team members’ emotions and physical feelings impact safety Recognise and reward staff for speaking up for safety and supporting others to do the same Lead reviews following incidents and near- misses in a calm, logical and reflective manner so that others feel psychologically safe to contribute Ensure there is authentic and appropriate support provided to patients, families, carers, or other staff after an incident Ensure staff in your unit or service understand and participate in the Open Disclosure process Set the expectation in the unit or service that understanding consumer or customer needs and complaints is essential for high- quality, reliable service delivery
Utilise system thinking
Anticipate the impacts of interactions between staff, teams, consumers and customers in your unit or service Cultivate and maintain a network of relationships outside your unit, within the service or District/Network, which you can use to achieve safety and quality improvement outcomes Connect patients, families, carers, or other staff and leaders with the support they need from other units or services where you work Follow up to see if they received the support they needed from other units or services where you work
Utilise improvement methodologies
Apply quality improvement methods and tools to suit the context of the improvement need Understand the need for appropriate diversity in quality improvement teams Guide others on quality improvement in your unit or service Understand the importance of a measurement for improvement initiatives Read and interpret data presented in quality improvement tools/systems Understand benchmarking, common cause variation and special cause variation as it applies to quality improvement Understand and apply the principles of Human- Centred Design Understand and apply evidence-based change management methods for service delivery improvement Support challenging conversations about change with teams and help remove barriers to change for improvement Support spread of quality improvement initiatives
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