SEPTEMBER 2024
EDITION 34
How can I develop my capability in Safety and Quality? In the June 2024 edition of Foresight, we featured the Healthcare Safety and Quality Capabilities set which describes the key knowledge, skills, and behaviours expected of NSW Health employees to engage in safety and quality improvement. The lists below (foundational) and on the next page (intermediate) are a series of statements (indicators) that provide examples describing these capabilities. Some may be new and some may be skills already employed and behaviours that are workplace habits. The list is not exhaustive but can be used to initiate conversations between employees, managers and teams about potential performance and development capability-building activities. To find out more visit www.cec.health.nsw.gov.au
Foundational level
Manage individual factors that influence performance at work Understand that emotions can have a positive and negative impact on work performance and relationships Regularly self-assess if you are fit for work and communicate this to your direct supervisor Engage in discussions with colleagues and supervisors to learn from mistakes , rather than assign blame Seek to understand what matters most to patients, families, carers, and customers and what drives complaints Acknowledge the physical and psychological needs of staff involved in incidents Undertake clinician disclosure and identify support for the patient, family, carer where possible Uphold a safety culture Contribute to a safety culture by asking questions, sharing ideas and concerns, and reporting incidents
Contribute to high reliability Aware of the six dimensions of quality and has started to reflect on what changes to service delivery may make things better and safer Regularly asking patients, families and/or carers about their care experience and how it can be improved Read about the Safety Fundamentals for Teams and participate in their use with your team Use the Speaking up for Safety C.O.D.E to communicate safety concerns Seek feedback on using structured and closed-loop communication during handover e.g. ISBAR Ask to see your unit or service’s safety and quality data (i.e. hand hygiene, hospital- acquired complications, real-time patient experience) and inquire how it informs decision-making to deliver reliable care Manage clinical incidents and risk Identify and notify clinical incidents, near- misses and environmental hazards that may affect safety Participate in discussions about clinical incidents, near-misses and environmental hazards Seek advice and reflect on escalating clinical incidents, near-misses and environmental hazards that may affect patient safety to your supervisor
Utilise improvement methodologies
Reflect on what changes to service delivery may make things better and safer and be confident to offer ideas Take responsibility for raising and fixing issues encountered at work Understand a range of improvement data that exists in healthcare (e.g. in QIDS) Volunteer to participate in a quality improvement project or activity such auditing
Understand the unit’s and service’s purpose, design and models of care Understand how taking action to improve service delivery might impact patients, families, carers, and staff in your or other units or services Recognise your role in a patient’s journey and how your actions can affect patient experience in other units and services health outcomes Enter information into data systems for reference along the patient journey Utilise system thinking
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