AUGUST 2022
EDITION 17
Partnering with Consumers Standard
Project Spotlight
NSLHD is committed to learning from adverse events and serious clinical incidents to improve patient safety and care outcomes. All staff involved in any serious clinical incident and or adverse event should understand what 'privilege' is and the process of a privileged investigation. What is privilege? When a reportable incident [1] occurs, it is important that staff feel safe to speak frankly about what happened and what they observed. Health Services can then learn from such incidents. Privilege supports people who feel concern for their confidentiality when asked for their recollections of an incident. DEVELOPING A NOVEL ICU FOLLOW-UP SERVICE FOR OUR SICKEST PATIENTS Patients discharged from the intensive care unit and their families are at risk of experiencing physical, cognitive and psychological health problems collectively termed Post Intensive Care Syndrome (PICS). Staff at Royal North Shore Hospital’s Intensive Care Unit developed a patient-centred multidisciplinary follow-up service to support patients and their primary caregivers by better understanding their experience in the ICU and early recognition and management of their PICS. Statutory privilege protects Preliminary Risk Assessment (PRA) and Serious Adverse Event Review (SAER) team members and documents they produce during a review from use as admissible evidence in any legal proceedings. PRA and SAER team members are bound by strict confidentiality requirements, making it an offence for them to disclose information obtained during the PRA or SAER, unless it is for the purpose of the PRA or SAER or in other limited defined circumstances. The service was developed in response to an identified need. The team hosted a series of community engagement forums where surviving patients described ongoing physical and psychological problems. Patients fed back that their GPs were unaware of PICS and ill- equipped to manage their ongoing needs without support. The ICU follow-up service is comprised of a multidisciplinary team of intensivists, nurses, pharmacists and social workers. Patients and their carers meet with the entire team. This collaboration allows partnered decision-making with patients, their GPs and the multidisciplinary team.
Intensive Care Unit, RNSH Transforming the Patient Experience Award Winner
Watch video showcasing this project and all the award-winning projects: 2022 NSLHD Quality and Improvement Awards How do I start an improvement project? Find out more from the Clinical Governance Quality Improvement Intranet site, NSLHD Innovation Hub or contact your local facility or service Quality Advisor
Enrol in one of the Improvement science training offerings - see below.
IMPROVEMENT SCIENCE TRAINING OFFERINGS
DROP-IN CLINICS
Monthly "drop-in" clinics are open to anyone undertaking an improvement project or have 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 the 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 links to join online MS teams meetings on upcoming sessions addressing various topics. The next session is on 9 September 14.00hrs – 15.00hrs and will focus on " Creative thinking for change and innovation " Watch previously recorded drop-in clinic
Ever wanted to improve an area of your work but didn’t know where to start? Join virtually in the next one-day facilitated Improvement Science workshop on 6 September Spaces are limited. Enrol via My Health Learning (MHL) course code 42956746. Alternatively, the Introduction to Improvement Science learning pathway online modules is available on MHL for completion at your own pace. Completion of either of the Improvement Science training offerings in combination with the Readiness to Lead for Safety and Quality learning pathway in MHL makes up the intermediate level capability of the Safety and Quality Essentials pathway
sessions focusing on topics such as " How do I know if my changes are an improvement? " or "Understanding Project Success" Contact: Cathy.Vinters@health.nsw.gov.au or Catherine.Rosario@health.nsw.gov.au (Clinical Reliability Improvement Facilitators)
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