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  Category: Reduce avoidable harm

Mortality - HSMR a quality indicator

Mortality - HSMR a quality indicator

What are HSMRs?

Monitoring deaths among hospital patients has become one of the standard measures (outcomes) used internationally to help monitor the quality of care provided in hospitals. Mortality rates and ratios are only one component of a range of quality indicators.

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Electronic prescribing & administration (ePA)

Electronic prescribing & administration (ePA)

This is an update on a story about ePrescribing that we featured in our Quality Account 2012/2013 [view more about ePrescribing at Waitemata DHB].


Why is electronic prescribing & administration important?

Medicines are one of the highest causes of preventable harm to patients. International research suggests that approximately 50% of medication harm occurs during prescribing, 40% during administration, and 10% during dispensing and distribution. The Institute of Healthcare Improvement [1] recommends automation and computerisation as one of the most effective tools for preventing medication errors.

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Electronic medicines reconciliation

Electronic medicines reconciliation

What is electronic medicines reconciliation?

Electronic Medicines Reconciliation is a medication safety process that uses computer software to import and document an accurate list of a patient’s current medicines on admission to hospital. The list contains the full details of all medicines, as well as information on any allergies and previous adverse drug reactions. Pharmacists use the software to compare this list with what has been charted (prescribed) in hospital. Any discrepancies (differences) are identified, documented and resolved.

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Mission smokefree: journey for ProCare

Mission smokefree: journey for ProCare


GOALS:

  • Smokefree Aotearoa 2025Reduce the number of smokers across the ProCare* network in line with Smokefree Aotearoa 2025
  • Exceed target of 90% of smokers given brief advice and support set by Ministry of Health (up from 47%)
  • Improve ranking for national health target for ProCare* (from 29 out of 35 Primary Healthcare Organisations)

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Reducing infection in our hospitals

Reducing infection in our hospitals

This is an update on a story in our Quality Account for 2013/2014 about embedding consistent hand hygiene practice as a means to reduce the incidence of hospital acquired infections and multi-drug resistant bacterial infections [view more about our hand hygiene programme].


What are we trying to achieve?

Our goals are to reduce the incidences of:

  1. hospital acquired infections by ensuring consistent compliance to hand hygiene best practice
  2. hospital acquired infection staph. aureus bacteraemia[1] (SAB)
  3. hospital acquired blood stream infections (HABSI) and healthcare associated blood stream infections (HCA – BSI) e.g. staph. aureus
  4. central line associated bacteraemia (CLAB)
  5. orthopaedic surgical site infections (SSI) – (Knee and Hip Arthroplasty[2])

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Inpatient self-management of insulin

Inpatient self-management of insulin

This is an update on a story about managing inpatient diabetes that we featured in our Quality Account 2013/2014 [view more about diabetes inpatient management].


GOAL:
To support patients to self-manage their diabetes in hospital if they are well enough and willing to do so.

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To crush or not to crush - medication guide for residential aged care

To crush or not to crush - medication guide for residential aged care


GOAL:
To develop an online resource for Residential Aged Care (RAC) facilities to help staff to safely give oral medication to residents who have difficulty swallowing tablets and capsules

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Pressure injury reporting

Pressure injury reporting


GOAL:
To ensure consistent and accurate reporting of pressure injuries in order to improve the prevention and management of pressure injury for our patients.

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