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ACCESS

Patient Flow and Safety Collaborative

Macquarie Area Health Service

COMPETENCE

Guaranteed Safe Quality Food

Northern Sydney Area Health Service

Category: Access
Macquarie Area Health Service
“Patient Flow & Safety”
Contact: Rita Wright
Phone: 6885 8640

The Patient Flow and Safety Collaborative is an initiative funded jointly by the Institute for Clinical Excellence (ICE) and NSW Health. Dubbo Base Hospital (DBH) was one of 36 teams from around NSW selected to participate in the Collaborative to improve patient safety and access to care.

DBH focussed their efforts on analysing existing processes within the Medical, Surgical and Emergency Departments that impacted on the flow of patients through the hospital. Using collaborative methodology three key areas for improvement were identified. They were:

  1. Reducing blockages and delays in the discharge process
  2. Reducing Time to Operating Theatre
  3. Reducing inappropriate ordering of pathology tests

Over a twelve month period, key interventions have been trialled and implemented. These include the introduction of Expected Date of Discharge to reduce the delays in discharge; the introduction of a “check-in chick” and additional wardsman to improve the flow through the operating theatres; and the development of a tiered pathology form and priority stickers for Emergency Department bloods which have reduced the number of pathology tests being ordered and time for the availability of results.

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Category: Competence
Northern Sydney Area Health Service
“Guaranteed Safe Quality Food”
Contact: Fifi Spechler
Phone: 9926 5985

This program has been undertaken primarily over the last 12 months to implement, monitor, verify and accredit the Food Safety, Food Quality and Quality Management Systems of NSH AFS against a National and International benchmarks and standards.

A working party was formed to establish what systems were required, and a review was conducted. Microbial standards were researched on the acceptable microbial limits for immunocompromised meal recipients.

Systems were established and implemented including those for the establishment of a verifiable microbiological testing program, monitoring of all critical control points in the process, development of systems for equipment testing and calibration and implementation of a brochure for nursing and other staff handling food.

In the follow up audit Northern Sydney Health Area Food Service (NSH AFS) passed at all seven sites and became the first in Australia to be certified for ISO and HACCP.

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