Initiatives by Category

Critical Care

Pleural Drains in Adults - Consensus Guidelines

Aim: Improve the standard of clinical practice in the insertion, management, trouble shooting and removal of pleural drains in adults within NSW hospitals.

Benefits: Improve patient experience and outcomes. Increase awareness of ‘good’ practice in relation to pleural drains. Support managers and clinicians to implement processes that will reduce the risks associated with pleural drains.

ACI Ready to Implement Added: 8 November 2013|Last updated: 15 January 2016

Care of Adult Patients in Acute Care Facilities with a Tracheostomy

Aim: To improve the safety and quality of care provided to adult patients with a tracheostomy in NSW hospitals.

Benefits: Reduce number of, and severity of adverse events in adults with tracheostomy Improve patient experience and outcomes Improve staff experience in caring for patients with a tracheostomy Reduce length of stay

ACI Ready to Implement Added: 28 October 2013|Last updated: 26 June 2015

Hand Hygiene

Aim: Through sustained improvement in hand hygiene by healthcare staff reduce the risk of healthcare associated infections.

Benefits: Improved health outcomes for patients (reduced morbidity and mortality); Reduced risk transmission of pathogenic organisms to patients, visitors and staff.

CEC Ready to Implement Added: 2 June 2014|Last updated: 2 June 2014

Pressure Injury Prevention Project

Aim: To foster best practice in the prevention and management of pressure injuries within NSW health facilities.

Benefits: Enhance patient safety by promoting pressure injury prevention and management among health care professionals and patients, in line with the Pan Pacific Clinical Practice Guidelines for the Prevention and Management of Pressure Injury 2012 as evidence based practice.Support local health districts (LHDs) and Networks to meet the Australian Commission on Safety and Quality in Health Care, National Safety and Quality Health Service Standards - Standard 8, Preventing and Managing Pressure Injury.

CEC Pre-implementation Added: 7 November 2013|Last updated: 2 June 2014

Nurse Delegated Emergency Care (NDEC) Project

Aim: To provide timely, quality care for patients presenting to EDs in rural and remote areas with low risk, low acuity conditions, and to empower Registered Nurses to manage entire episodes of care through a delegated care model which promotes a more sustainable clinical workload for rural doctors.

Benefits: For patients - access to timely and quality care for less-urgent conditionsFor nurses - a validated and authorised framework to work within their scope of practice to manage entire episodes of careFor doctors - a robust model under which care can be delegated, leading to more sustainable clinical workload and work-life balanceFor rural health services - a collaborative framework for delivering quality patient care in small rural EDsFor rural communities – mitigation of some of the barriers to recruitment and...

ACI Ready to Implement Added: 7 November 2013|Last updated: 17 August 2016

Non-Invasive Ventilation (NIV) Guidelines for Adult Patients with Acute Respiratory Failure

Aim: Provide clinicians in critical care areas and specialist respiratory care units with best practice guidance regarding the provision of NIV for appropriately selected patients detailing clinical assessment, NIV therapy management and patient care. Ensure safe and effective NIV is provided to patients and they are managed in the appropriate clinical settings in NSW hospitals.

Benefits: Improve patient experience and outcomes Reduced need for invasive ventilation, prolonged mechanical ventilation and tracheostomy Reduce length of stay

ACI Pre-implementation Added: 8 November 2013|Last updated: 26 June 2015

Supervision for Safety

Aim: It is proposed that the Supervision for Safety project address NSW Health system deficiencies related to supervision at the point of clinical care. Specifically related to ensuring patient care plans are appropriate and deterioration in patient condition is escalated to the most appropriate level.

Benefits: The Supervision project aims to ensure the appropriate support is provided to less experienced clinicians.The expected project outcomes include:Supervision of the clinical workforce is built into core work practices; Supervision is structured to allow clinicians to be trained without compromising patient care; Supervision provided by clinicians at the point of care is appropriate for the level of expertise of the clinicians involved; Practices are in place to establish the level of expertise of less experienced staff; Supervision is treated as...

CEC Pre-implementation Added: 2 June 2014|Last updated: 2 June 2014

Quality Systems Assessment (QSA)

Aim: The Quality Systems Assessment (QSA) is a clinical risk management program designed to provide clinicians and managers at all levels with information relevant to their local systems for clinical quality and patient safety.

Benefits: The QSA is one vehicle that contributes to resilience in our health system. Working directly with local teams and local priorities, the QSA supports continuous learning and improvement to prevent and reduce patient harm. Through the multi-level self-assessment, reporting and site visits the QSA is able to identify risks and support improvements: Locally – through detailed local data returned directly to local teams Systemically – through aggregation of local data to identify high priority themes for action All effort that...

CEC Ready to Implement Added: 24 January 2014|Last updated: 14 October 2014

SEPSIS KILLS Program

Aim: To improve the recognition and treatment of sepsis and septic shock in NSW healthcare facilities and to reduce their impact, mortality and financial costs.

Benefits: Successful implementation of the SEPSIS KILLS program is providing significant benefits at both clinical and system levels, including: more timely, standardised and effective detection and management of sepsis; reduced mortality, morbidity and bed-stays from sepsis-related conditions; enhanced clinician skills in sepsis recognition and management; enhanced networking opportunities across the system for clinicians and service teams; improved quality and safety of care; a better and safer patient experience.

CEC Ready to Implement Added: 6 November 2013|Last updated: 5 February 2015

Service Quality and Communication in Emergency Department Waiting Rooms

Aim: The Clinical Excellence Commission (CEC) funded research into service quality and communication in emergency department waiting rooms. The research team was comprised of staff from Southern Cross University with applied skills and knowledge in organisational communication, culture, history, structures and operations.

Benefits: The CEC and Southern Cross University are collaborating on developing educational materials to further progress this area in NSW. Sites interested in being pilot sites for this work are encouraged to email the Directorate of Patient Based Care and express interest.

CEC Pre-implementation Added: 6 November 2013|Last updated: 5 March 2015

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