Meeting National Safety and Quality Health Service Standards – The Role of the Point-of-Care (POC) Audit Application

2013 ◽  
Author(s):  
Christopher Bain
Keyword(s):  
Health Service ◽  
Point Of Care ◽  
Quality Health ◽  
Service Standards

The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards

2013 ◽  
Vol 37 (4) ◽  
pp. 541 ◽  
Author(s):  
Diane E. Twigg ◽  
Christine Duffield ◽  
Gemma Evans
Keyword(s):  
Health Service ◽  
Patient Care ◽  
Critical Role ◽  
Hospital Performance ◽  
Successful Implementation ◽  
Skill Mix ◽  
National Quality ◽  
Quality Health ◽  
Service Standards

The National Safety and Quality Health Service Standards requires health service compliance by 2013 and covers several areas including governance arrangements, partnerships with consumers and eight key clinical processes. Nurses in Australia comprise 62% of the hospital workforce, are the largest component and hence play a critical role in meeting these standards and improving the quality of patient care. Several of the standards are influenced by nursing interventions, which incorporate any direct-care treatment that the nurse performs for a patient that may be nurse or physician initiated. The ability for nurses to undertake these interventions is influenced by the hours of care available, the skill mix of the nursing workforce and the environment in which they practice. Taking into consideration the predicted nursing shortages, the challenge to successfully implement the National Safety and Quality Health Service Standards will be great. This paper examines the role of nursing in the delivery of the National Standards, analyses the evidence with regard to nursing-sensitive outcomes and discusses the implications for health service decision makers and policy. What is known about the topic? The National Safety and Quality Health Service Standards have been endorsed for implementation by the Australian Health Ministers. Compliance with the National Safety and Quality Health Service Standards is required by Health Services in 2013. Nurses play a critical role in providing high-quality patient care and meeting accreditation standards. A decline in nursing standards is associated with inadequate staffing levels and skill mix and a lack of effective leadership and results in an increase in patient mortality. What does this paper add? The role of nurses in achieving compliance with the standards is discussed. We demonstrate that the capacity for nurses to undertake interventions is influenced by prevailing workforce characteristics. Significant nursing shortages have been identified as possible challenges to successfully implementing the National Safety and Quality Health Service Standards. What are the implications for practitioners? Practitioners need to review nursing hours of care, skill mix and the practice environment as part of the actions required to achieve the National Quality and Safety Standards. The Australian Commission on Safety and Quality in Health Care has the opportunity to take the lead by including such indicators in the measurement of hospital performance.

Discharge communication from inpatient care: an audit of written medical discharge summary procedure against the new National Health Service Standard for clinical handover

2015 ◽  
Vol 39 (2) ◽  
pp. 197 ◽  
Author(s):  
Daniel Brooks Reid ◽  
Shaun R. Parsons ◽  
Stephen D. Gill ◽  
Andrew J. Hughes
Keyword(s):  
Health Service ◽  
Discharge Summary ◽  
Junior Doctors ◽  
Department Heads ◽  
Clinical Handover ◽  
Staff Members ◽  
Quality Health ◽  
Service Standards ◽  
Discharge Summaries ◽  
Summary Procedure

Objective To audit written medical discharge summary procedure and practice against Standard Six (clinical handover) of the Australian National Safety and Quality Health Service Standards at a major regional Victorian health service. Methods Department heads were invited to complete a questionnaire about departmental discharge summary practices. Results Twenty-seven (82%) department heads completed the questionnaire. Seven (26%) departments had a documented discharge summary procedure. Fourteen (52%) departments monitored discharge summary completion and 13 (48%) departments monitored the timeliness of completion. Seven (26%) departments informed the patient of the content of the discharge summary and six (22%) departments provided the patient with a copy. Seven (26%) departments provided training for staff members on how to complete discharge summaries. Completing discharge summaries was usually delegated to the medical intern. Conclusions The introduction of the National Service Standards prompted an organisation-wide audit of discharge summary practices against the external criterion. There was substantial variation in the organisation’s practices. The Standards and the current audit results highlight an opportunity for the organisation to enhance and standardise discharge summary practices and improve communication with general practice. What is known about the topic? The Australian National Safety and Quality Health Service Standards (Standard 6) require health service organisations to implement documented systems that support structured and effective clinical handover. Discharge summaries are an important and often the only form of communication during a patient’s transition from hospital to the community. Incomplete, inaccurate and unavailable discharge summaries are common and expose patients to greater health risks. Junior staff members find completing discharge summaries difficult and fail to receive appropriate education or support. There is little published evidence regarding the discharge summary practices of inpatient health services. What does this paper add? The paper demonstrates that there is substantial variation in practice regarding discharge summaries in a large regional health service. Departments have different processes and vary in the degree of attention and quality assurance provided to discharge summaries. Variable organisation procedures make completing discharge summaries more difficult for junior doctors, who regularly move between departments. Variable practice is likely to increase the risk of absent, untimely, incomplete or incorrect communication between acute and community services, thereby reducing the quality of patient care. It is likely that similar findings would be found in other hospitals. What are the implications for practitioners? To be accredited under the National Safety and Quality Health Service Standards, health organisations must ensure that adequate processes are in place for safe and effective clinical handover. Organisations should reduce the practice variability by standardising processes, monitoring compliance with processes, and training and supporting junior doctors.

Accreditation of Australian dental practices: Does the low number of reported breaches of patient safety justify the rejection of accreditation?

2017 ◽  
Vol 8 (3) ◽  
pp. 102-106
Author(s):  
Gillian Jean
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Dental Treatment ◽  
Current Knowledge ◽  
Critical Evaluation ◽  
Dental Practice ◽  
Dental Patient ◽  
Quality Health ◽  
Dental Practices ◽  
Service Standards

Here, our current knowledge of the occurrence of errors during dental treatment in Australia, and whether the Australian National Safety and Quality Health Service Standards (Standards) are likely to have an impact in reducing the incidence of errors, is examined. This article is the first critical evaluation of the Standards as they apply to private dental practice in Australia, and therefore contributes to the building of an accreditation scheme that will improve dental patient safety.

scholarly journals KEKUATAN HUKUM PELIMPAHAN WEWENANG DARI DOKTER KEPADA NERS DITINJAU DARI ASPEK PIDANA DAN PERDATA

2018 ◽  
Vol 25 (2) ◽  
pp. 172
Author(s):  
Aning Pattypeilohy ◽  
Sutarno Sutarno ◽  
Adriano Adriano
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health Worker ◽  
Health Personnel ◽  
Medical Personnel ◽  
Delegation Of Authority ◽  
Legal Problems ◽  
Standard Operating ◽  
Quality Health ◽  
Service Standards

This study aims to provide an overview of the power of law in the delegation of authority from the doctor to ners both in writing and not written. In performing health services, especially in performing medical acts, it is necessary to transfer the authority of medical personnel to health personnel in order to create a comprehensive and quality health service, this has been regulated in related legislation. Ners is a profession professional and independent, in carrying out its professional duties ners work in accordance with service standards, standard operating procedures and the provisions of the Act-legislation. As a health worker, the ners may receive a delegation of authority only in writing from the doctor to him or her so that the delegate has the force of law. With the delegation of authority in health services, if there is a loss or legal problems in the future, doctors as authors and recipients of authority can be held accountable both criminal and civil.

The Role of Nurses in the Implementation of Patient Safety and Protection of Patient Rights at the Rahayu Yakkum Purwodadi Hospital

SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 254
Author(s):  
Christina Nur Widayati ◽  
Endang Wahyati Yustina ◽  
Hadi Sulistyanto
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Codes Of Conduct ◽  
Rights Protection ◽  
Patient’S Rights ◽  
Nurses Role ◽  
The Republic ◽  
The Right ◽  
Service Standards

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.

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