Safety & Quality Account 2020-21 | 2021-22 Future Priorities
Review of Performance Against 2021-2022 NSW Health Key Performance Indicators WSLHD Safety & Quality Account
HOSPITAL ACQUIRED VENOUS THROMBOEMBOLISM 6.6 occasions of hospital acquired venous thromboembolism per 10,000 episodes of care.
HOSPITAL ACQUIRED MEDICATION COMPLICATIONS 12.5 occasions of hospital acquired medication complications per 10,000 episodes of care.
MEDICAL COMPLICATIONS
VENOUS THROMBOEMBOLISM
8
14
12.99
12.54
6.88
7
6.72
6.6
12
6.59
6.7
11.3
10.65
6
9.53
10
5
8
4
6
3
4
2
2
1
Number of Incidents per 10,000 bed days
Number of Incidents per 10,000 bed days
0
0
2019-20
2020-21
2019-20
2020-21
NSW
WSLHD
WSLHD upper rate limit 2021
NSW
WSLHD
WSLHD upper rate limit 2021
2020-21 WSLHD upper rate limit ≤ 11.3
2020-21 WSLHD upper rate limit ≤ 6.7
IMPROVEMENT INITIATIVES • Introduction of “force” function to ensure completion of risk assessments prior to prescribing of anti-thrombolytic • GoShare platform used to provide information electronically to patients in the outpatient or community setting.
IMPROVEMENT INITIATIVES • Comprehensive risk assessment on admission and ongoing monitoring of medication strategies implemented for care • Work underway in facilities to increase the rate of medication reconciliation assessments.
HOSPITAL ACQUIRED CARDIAC COMPLICATIONS 34.7 occasions of hospital acquired cardiac complications per 10,000 episodes of care.
3RD & 4TH DEGREE PERINEAL LACERATIONS THAT OCCUR WHILE GIVING BIRTH VAGINALLY 324.8 occasions of 3rd & 4th degree perineal lacerations per 10,000 episodes of care.
3rd and 4th DEGREE PERINEAL LACERATIONS
CARDIAC COMPLICATIONS
40
400
375.4
346.8
34.72
350
35
341.2
33.83
33.58
324.8
310
30.5
300
30
30
250
25
200
20
150
15
100
10
50
5
Number of Incidents per 10,000 bed days 0
Number of Incidents per 10,000 bed days
0
2019-20
2020-21
2019-20
2020-21
NSW
WSLHD
WSLHD upper rate limit 2021
NSW
WSLHD
WSLHD upper rate limit 2021
2020-21 WSLHD upper rate limit ≤ 375.4
2020-21 WSLHD upper rate limit ≤ 30
IMPROVEMENT INITIATIVES • Improving individual care plans that are developed in partnership with patients and are well documented • Ensuring all at risk patients are referred for follow up within the WSLHD service where they have access to a multidisciplinary team including: dieticians, exercise physiologists, nurses and medical staff to develop a holistic patient care plan and engage all needed services.
IMPROVEMENT INITIATIVES • Senior midwife to attend all births
• Promote slow controlled birthing of the baby • Provide perineal protection during birth and episiotomy when required • All staff to complete PEACHES training.
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