Acute Patient Outcomes
As part of our quality framework, we regularly measure ourselves against a range of ‘Clinical Indicators’.
Hand hygiene (or hand washing) is one of the best ways to stop infections so, as a priority, we educate and train all caregivers in the World Health Organisation’s (WHO) “five moments” for hand hygiene.
Our Infection Prevention Nurse and audit team complete compliance audits on a regular basis.
A fall in a hospital is when a patient suddenly and unintentionally falls to the ground. This can happen in a hospital setting for several reasons, such as a change in medication or just because the surroundings are unfamiliar. Falls can injure patients and affect their recovery and independence.
We achieve a lower rate through our established Falls Prevention and Management Program and an electronic Incident/Risk Management and Reporting System. A variety of best practice tools and prevention intervention guidelines are utilised to identify those patients/consumers at high risk of having a fall. This graph shows the number of falls over the past year.
A pressure injury is an area of damage to the skin and underlying tissue caused by constant pressure or friction. This can sometimes occur when a patient is in one position and unable to easily move for a long period.
Pressure injuries can be prevented. We also help to reduce the likelihood of our patients developing pressure injuries during their hospital stay, by assessing their individual risk and follow individual care plans.
As part of our clinical care, we inspect skin frequently, keep skin dry, ensure patients have access to the best nutrition and hydration, and help and encourage patients to move frequently.
This is very important in maintaining quality care as pressure injuries can cause significant pain and discomfort that can slow a patient’s recovery.
We achieve this rate through an established Pressure Injury Prevention Management Program and the reporting and monitoring of every pressure injury for the purposes of identifying areas for improvement.
The graph below shows the number of patients who developed a pressure injury while at Euroa Health.
Adverse Blood Transfusion Events
As part of a hospital admission, you may require a blood transfusion, which is a procedure where you receive blood through your vein. Blood transfusions may be necessary for several reasons, for example, if you are anaemic or if your body is not producing sufficient blood cells. Blood transfusions can be a lifesaving measure but is not without some risk and therefore is only prescribed after a doctor has deemed it necessary.
We achieve this by ensuring blood is only prescribed when necessary; ensuring staff are competent in blood transfusion management; and by ensuring that blood and blood product usage is in line with current best practice guidelines, as set out by the National Standard for Blood and Blood Products.
Each month Euroa Health identifies the number of medication errors occurring in the processes of prescribing or administration of medication. The graph below shows the number of medication errors per month for the service.
Patient Experience Data
In 2021 Euroa Health commenced the collection of patient experience data to provide us with an insight into the ways in which patients view their experience of a number of non-clinical and clinical aspects of care.
These measures not only enable us to have a better understanding of how each patient perceives our quality of care in real time, they also provide the opportunity for us to act on any feedback or concerns straight away in partnership with them. The data collected is then used to inform our Quality and Improvement program. An example of the data in graph form is shown below
Standard 5 – Acute Audit (New), all figures % of patients surveyed
Patient Experience – is the patient happy with their room, quality of food, cleanliness of facilities, have they had their clinical journey and discharge plan explained to them, are they delighted with their experience at EHI and any suggestions for improvement
Patient Identification – is the patient wearing a legible and current identification band and does it identify any allergies, are they asked for 3 points of ID prior to any procedures or medications
Care Planning – was the patient included in planning their treatment and care, were they included in planning for their discharge from hospital
Bedside Handover – were clinical staff change of shift handovers performed at the patient’s bedside, were they included in the handover process and given the opportunity to provide input, was their communication board updated for their benefit
Nutrition – is the patient at risk of malnutrition, have they a choice in their nutrition plan, are weights recorded
Infection Prevention and Control – did staff observe the 5 Moments of hand hygiene 100% of the time, do all staff wear gloves, are all cannulas or catheters clean and are they changed regularly
Pressure Injuries – have they had a skin assessment, have they been advised on best methods to avoid PIs, if confined to bed do staff regularly assist with position changes
Medication Safety – have patient’s allergies been discussed with them, are they asked about them when receiving medications, have they had an opportunity to discuss any concerns about medications with their doctor or a pharmacist, are any medication changes explained to them
Clinical Deterioration – does the patient (and family) know and feel confident using the procedure for escalating their concerns if they are worried about their health