Community Update on Safety and Quality in Health Care at ......- You can encourage your visitors to clean their hands each time they enter the hospital and enter or leave your room

Template based on the Clinical Excellence Commission’s Community Update on Safety and Quality

Royal Hospital for Women Year: 2017

Community Update on Safety and Quality in Health Care

at the Royal Hospital for Women

Introduction Hand Hygiene

Medication Safety Falls

How can you help?

?


Introduction

Hand Hygiene

Medication Safety

Falls

How can you help?

Introduction

This Community Update is designed to provide the community

and consumers with information on the progress of the Royal

Hospital for Women across three key areas: hand hygiene,

medication safety and falls.

We believe that engaging the community and partnering with

patients, families and carers as team members improves quality

in health care. An important driver of quality is safety: avoiding

or reducing potential harm in health care. In this Community

Update we provide you with information and practical ways to

help improve the care you receive.

Kind Regards,

Vanessa Madunic, General Manager

?

Royal Hospital for Women Year: 2017


Royal Hospital for Women

Year: 2017

How well do we keep our hands clean in the Royal Hospital for

Women?

Recent data shows that our health care staff are cleaning their hands

87.3% of the time when providing care for patients. This includes

doctors, nurses, physiotherapists, ward clerks and ward staff. The

South East Sydney Local Health District Average in 2017 was 83%,

New South Wales was 84.8% and the National benchmark is 83.8%.

Why is this important?

Better hand hygiene by health care staff helps to reduce the spread

of infection in hospitals. Avoiding infections is one way to help people

get better and go home quicker.

Hand hygiene is the use of alcohol-based hand rub or soap and water

to clean hands properly. There are five key times when a health care

worker caring for a patient should clean their hands. These five times,

identified by the National Hand Hygiene Initiative, are:

1. Before touching a patient

2. Before a procedure

3. After a procedure or body fluid exposure

4. After touching a patient

5. After touching a patient’s surroundings

Hand Hygiene

Introduction

Hand Hygiene

Medication Safety

Falls

How can you help? ?


Hand Hygiene Graphs


Year: 2017

76

78

80

82

84

86

88

90

92

2015 2016 2017

Conpliance Rates period 1st July to 31 November 2017

RHW SESLHD NSW National



Year: 2017

What is happening with Medication Safety in the Royal

Hospital for Women?

A study in 2009 found that about 2-3 percent of Australian hospital

admissions are medication-related. Research tells us that harm

associated with medication remains the second most common type

of incident in hospitals. Health services are also reviewing

medication safety.

In the Royal Hospital for Women each medication error is thoroughly

investigated with the aim of further reducing the error rate.


Medication is given to almost every patient treated in hospital. For

many, medication is the most important part of their overall medical

treatment. Research also tells us that medication is not without risk

and occasionally medications can cause harm.

Some harm caused by medicines is due to errors that are

preventable. By understanding what contributes to these errors,

taking action, and sharing this information with the community and

health professionals, we can help prevent others from being harmed

by medications.

Medication Safety

Introduction

Hand Hygiene

Medication Safety

Falls

How can you help? ?


RHW Medication Errors by Occupied Bed Days

30.6

1.27 1.47 1.84 1.73 1.21

0

5

10

15

20

25

30

35

1

%

Medication Errors per thousand separations

SESLHD 2017

2013 RHW

2014 RHW

2015 RHW

2016 RHW

2017 RHW

Year: 2013

Medication Safety Graphs

Year: 2017



Medication Safety Graphs


Year: 2013


Year: 2013 How well are we managing falls in the Royal Hospital for

Women?

In NSW hip fractures resulting from falls have decreased between

the years 2004 and 2010, whilst people over the age of 65 years

being admitted to hospitals for a fall has increased. Falls can also

happen whilst you are in hospital and can result in you fearing

further falls, making it harder for you to stay independent.

In the Royal Hospital for Women, our rate of patient falls is

significantly less than the National average. However, falls have

significantly reduced last year compared to the same period the

previous year.

Mothers are also at an increased risk of falling asleep while breast

feeding after a long labour and delivery. Babies can roll off the bed

and fall onto the floor when this happens.

The Royal Hospital for Women has put in place strategies to educate

mothers about this risk and we have reduced our rate of baby falls

by 80%.


Falls injury can be prevented, even in frail older people and whilst

some cause no harm, others can cause serious injury.

People fall for a range of reasons, including poor balance, poor

eyesight, some medications, confusion, delirium, incontinence,

unsafe footwear, unfamiliar environments and obstacles.

Sometimes this injury leads to being admitted to hospital and

changes in lifestyle.

We also need to be aware of the risk of falling when in hospital as a

patient.

Falls

Introduction

Hand Hygiene

Medication Safety

Falls

How can you help? ?

Year: 2017


RHW Falls by Occupied Bed Days

Adult/OBD Baby/OBD

SESLHD 2017 35.9

2011 RHW 0.3810 0.05

2012 RHW 0.1850 0.13

2013 RHW 0.6563 0.16

2014 RHW 0.1314 0.03

2015 RHW 0.3428 0.04

2016 RHW 0.1969 0.02

2017 RHW 0.2814 0.02

35.9

0

5

10

15

20

25

30

35

40

%

Year

Falls per thousand separationsSESLHD 2017

2011 RHW

2012 RHW

2013 RHW

2014 RHW

2015 RHW

2016 RHW

2017 RHW

Falls Graphs

Year: 2017 Royal Hospital for Women


Year: 2017

Hand Hygiene

- You can ask doctors, nurses or other health care staff if they have

cleaned their hands.

- You can encourage your visitors to clean their hands each time

they enter the hospital and enter or leave your room.

- You can ask your visitors never to touch your wounds, dressings,

or other equipment being used to treat you.

Medication Safety

- You can keep a list of regular medications you take and bring the

list to hospital with you

- You can ask nurses, doctors and pharmacists about the medication

you are being given.

- You or your family or carer can ask nurses, doctors and

pharmacists for information on any new medications and changes

in medication.

Falls

If you feel at risk of falling, you should inform nurses, doctors and

other health professionals.

You and your family or carer can ask to be included in the

development of a falls prevention care plan.

How can you help?

Introduction

Hand Hygiene

Medication Safety

Falls

How can you help? ?


Documents

Community Update on Safety and Quality in Health Care at ......- You can encourage your visitors to clean their hands each time they enter the hospital and enter or leave your room