NSLHD’s Safety and Quality Newsletter provides information on new and upcoming activities, programs and initiatives within the district that aim to improve the safety of our patients and the quality of our care.
NOVEMBER 2024
EDITION 36
IN THIS EDITION: 2024 NSLHD Safety and Quality Account Gathering of Kindness week (11-17 Nov) Antimicrobial Resistance Awareness Week (18-24 Nov)
2024 SAFETY AND QUALITY ACCOUNT
The 2024 NSLHD Safety and Quality Account has been released, showcasing a range of district achievements over the 2023-2024 financial year that have led to significant improvements in patient outcomes, staff well- being, and community health. As a testament to NSLHD’s ongoing commitment to safety and quality, this annual publication allows the district to reflect on accomplishments and assess performance against safety and quality targets. It reports that NSLHD met the vast majority of safety and quality indicators over the last financial year. The Account highlights how patient experiences and feedback are gathered and addressed, showing examples of partnerships with consumers and initiatives that enhance shared decision-making, such as including patients and consumers in bedside handovers. A dedicated chapter on NSLHD’s "workplace culture that drives safe, high-quality care" outlines the programs and initiatives that create an engaged, supportive work environment. These efforts empower staff to raise safety issues and deliver reliable, person-centered healthcare.
What did you think of this issue? Please give us your feedback.
The Future Priorities chapter outlines several key safety and quality goals underway across NSLHD.
Click the image above to download the 2024 NSLHD Safety and Quality Account
The NSLHD Safety and Quality Account was co-produced in partnership with Consumer Advisors and staff from across the district.
Clinical Governance Standard
NOVEMBER 2024
EDITION 36
Online events are happening every day during Gathering of Kindness week Join the virtual sessions to inspire creativity, foster change, encourage collaboration and courage, and reconnect with hearts and minds.
11 – 17 November 2024
Kindness is my Superpower
Click on the image for the full MOH Gathering of Kindness 2024 program, select and register to attend any of the events held during the week
Seeing kindness in action across NSW Health Kindness and compassion are key to elevating the human experience for everyone. The Gathering of Kindness is a key initiative of Elevating the Human Experience: Guide to Action, which uses World Kindness Day to continue conversations about a culture of kindness in healthcare delivery. Staff across our facilities and services are invited to get involved. During Gathering of Kindness week, there are several ways for you to take part both virtually and in person. Take a picture with the ‘Kindness is my Superpower’ selfie frames to promote the importance that small acts of kindness play in making a difference in the experiences of our staff, patients, families, and carers in healthcare. Share a picture with us by emailing it to NSLHD-ThePatientExperience@health.nsw.gov.au
Can’t make it to the live sessions? Catch up on panel discussions, keynote sessions and conversations on demand on the Elevating the Human Experience Gathering of Kindness intranet site at a time convenient for you. NSLHD 160 Tales of Kindness NSLHD is again setting a challenge to capture 160 Tales of Kindness from across the district to celebrate the impact kindness can have on people and places. In 2023, 167 tales were captured through the NSLHD compliment portal. Kindness cards will be available for staff to send via the compliments portal* between 11 and 17 November 2024. Staff are invited to send a message of thanks to a colleague for their act of kindness through the portal and reflect on how it can potentially make someone’s day brighter. If you have any questions, please don’t hesitate to contact us at NSLHD- ThePatientExperience@health.nsw.gov.au .
A wide variety of printable Gathering of Kindness downloads such as posters, thank you cards, social media tiles, and banners are available from the Gathering of Kindness Ministry of Health intranet* page.
Partnering with Consumers Standard
* Access to the intranet page requires access to the NSW Health network
NOVEMBER 2024
EDITION 36
Be part of the NSLHD 160 tales of Kindness
During the Gathering of Kindness week, NSLHD has set a challenge to capture 160 Tales of Kindness from across the district to celebrate the impact kindness can have on people and places. An initiative that originated in Prince of Wales Hospital, sharing tales of kindness, looks to integrate the power that kindness holds as an enabler for staff well-being, person-centred care and happy workplaces.
Sending a tale of kindness is easy.
Click on the A link to the portal can also be accessed from the new NSLHD Intranet home page under ‘quick links’. (requires access to the NSW Health network)
Review and tick the box to agree to the confidentiality statement and click continue to take you to a Send your Compliment form (see image below).
FROM: Enter in your details. Staff members may note that your details are already auto-populated COMPLIMENT: Simply write your message of kindness in the message box. CARD TYPE: Make sure you select the ‘Kindness Works Here’ card type from the drop-down menu before you send. CLICK TO ADD YOUR RECIPIENT: All NSLHD employees can be found through the search function. You also have the option of adding the employee's manager if you choose to. PREVIEW and SEND the card!
Reflect on your act of kindness and how it can potentially make someone’s day.
NSLHD is hoping to receive at least 160 messages through the week!
NOVEMBER 2024
EDITION 36
ANTIMICROBIAL RESISTANCE AWARENESS WEEK 2024
NSLHD will celebrate World Antimicrobial Resistance Awareness Week during 18 - 24 November 2024.
Antimicrobial resistance (AMR) occurs when bacteria, viruses, fungi and parasites no longer respond to antimicrobial medicines.
As a result, antibiotics and other antimicrobial medicines become ineffective, making infections harder or impossible to treat and increasing the risk of disease spread, severe illness, and death.
Up to a third of NSLHD inpatients are on an antimicrobial at any one time. The antimicrobials prescribed, dispensed and administered must be evidence-based and aligned with local or national guidelines. Prescriptions should have a documented indication, duration or review date, and our patients must be informed of the antimicrobial plan and potential side effects.
Visit the AMR Awareness stalls during AMR awareness week at RNSH (19 Nov), HKH and Ryde Hospital, participate in an online quiz for your chance to win a prize.
More information will be shared via the all-staff email weekly bulletin in the coming weeks.
To learn more: Visit the Australian Commission on Safety and Quality in Health Care Visit the NSLHD Antimicrobial Stewardship intranet page Bugs and Drugs*
We all have a part to play to help reduce antibiotic resistance.
View the AMR Awareness Week video by the World Health Organisation
Preventing and Controlling Healthcare-Associated Infection Standard
* Access to the intranet page requires access to the NSW Health network
NOVEMBER 2024
EDITION 36
NSLHD Clinical Audit Schedule
Clinical Governance Standard The NSLHD Clinical Audit Schedule supports all sites and services within NSLHD to monitor and evaluate clinical care processes and informs clinical quality improvement activities across NSLHD. Download the complete 2024-2025 NSLHD Clinical Audit Schedule from the Clinical Audit Schedule Intranet page Clinical audits required to be completed this month are listed below.
September QARS Audits ( direct links available from Clinical Audit Intranet page)
NSLHD_03_Peripheral Intravenous Cannula (PIVC) Insertion and Management
Standard 3
NSLHD_4_Accountable Drug (S4D S8) Register HKH | MV | RNSH | Ryde | MHDA
Standard 4
NSLHD_05_ Falls Audit Documentation and Observation_Inpatient and MHDA V3 NSLHD_05_Falls Audit Documentation_Community and Ambulatory Care Locations V2 NSLHD_05_Pressure Injury Audit
Standard 5
NSLHD_6_ ID Band Specifications Adult/Paediatric Inpatients NSLHD_6_ID Band Specifications for Newborns V2
Standard 6
NLSHD_08_MONTHLY_Resuscitation trolley/backpack & Resuscitaire equipment audit RNSH| MV | HKH | Ryde | MHDA | HITH
Standard 8
Policies, Procedures and Guidelines Click on the links below to download documents from the Prompt document system. Refer to the NSLHD weekly bulletin to access the most up-to-date list of PPGs
For any queries relating to policy, procedure and guideline development contact NSLHD-Policies@health.nsw.gov.au
NSLHD – Recently Published Policies, Procedures, Guidelines and Standing Orders
Notification of suspected death by suicide and updating eMR deceased status procedure Suicide in the Community setting: Management and Postvention - MHDA_Procedure Management of Correspondence between the Mental Health Review Tribunal and Mental Health Drug and Alcohol Services – MHDA_Procedure Management of the Pregnant Trauma Patient -RNSH_Guideline Escort of Patient/Consumers - NSLHD_Procedure Intra-Hospital, Unit Transfer Requirements - NSLHD_Procedure
Safety Alerts - New, updated and recently published
Medication Safety Updates including medication shortages are available on the CEC website.
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