Cura Group

Patient safety and quality

Cura Day Hospitals Group is committed to providing safe and high quality services, and all of our facilities maintain certification against the 10 National Safety and Quality Health Service Standards. All hospitals are accredited by a an industry recognised agency as being compliant with the International Organisation for Standardisation (ISO 9001:2008).

The primary aims of the NSQHS Standards are to protect the public from harm and to improve the quality of health service provision. They provide a quality assurance mechanism that tests whether relevant systems are in place to ensure minimum standards of safety and quality are met, and to ensure continuous improvement.

Use the expand and collapse feature below to find out more. 
  • Governance for Safety and Quality in Health Service Organisations

    which describes the quality framework required for health service organisations to implement safe systems.

  • Partnering with Consumers

    which describes the systems and strategies to create a consumer-centred health system by including consumers in the development and design of quality health care.

  • Preventing and Controlling Healthcare Associated Infections

    which describes the systems and strategies to prevent infection of patients within the healthcare system and to manage infections effectively when they occur to minimise the consequences.

     

     

  • Medication Safety

    which describes the systems and strategies to ensure clinicians safely prescribe, dispense and administer appropriate medicines to informed patients.

    Managing your medications safely

    One of the common causes of adverse incidents (unintentional harm) is when medications are prescribed, administered or taken incorrectly. Medication errors can happen while you are in hospital or at home. Medication errors may be caused, for example by your medications having the same or similar brand names or packaging, or when one medication interferes with another medication. A medication error may also occur if you miss a dose, take the wrong dose, or misunderstand the oral or written instructions.

    To manage your medications safely, the following steps should be taken.

    • Keep a written record of the medications you take at home including complementary and non-prescription medicines and inform the hospital staff at the time of your pre-operative telephone call and admission.
    • Ask your doctor what your new prescription medication is for, what the side effects or complications are, and whether it is safe to mix it with your other medications.
    • Let the hospital staff know immediately you feel unwell after medication.
    • Make sure you understand all of the instructions you have been given about your drops or medication before you leave the hospital.
    • Use a dosage box to reduce the likelihood of mixing up your medications, making dosage errors or forgetting to take your medication. Many pharmacists will prepare a dosage box for you free of charge.
    • Get medications from the same pharmacy every time, so your pharmacist can keep a record of the medication you are taking and alert you to any dangerous interactions.
    • Ask your nurses, doctors and pharmacist for any Consumer Medicine Information, called CMI, that you can refer to when required. You can download this information from the consumer’s page of the National Prescribing website at www.nps.org.au
    • If you are unable to talk with your doctor, you can speak to a pharmacist by phoning National Prescribing Service Medicines Line 1300 888 763 Monday to Friday 9.00am to 6.00pm (EST) for the cost of a local call.

  • Patient Identification and Procedure Matching

    which describes the systems and strategies to identify patients and correctly match their identity with the correct treatment.

    Correct Patient, Correct Site, Correct Procedure

    While operating on the wrong site or side is very rare, there are ways that you can reduce the risk even further.

    Operating theatres and other clinical areas are busy and complex work environments, and doctors and staff conduct many surgical procedures each day. We have many surgical safety checks built into our work practices and we will ask you many times your name, date of birth and which side /site are we operating on, so that patient harm is prevented.

    To ensure you receive the correct surgery or procedure on the correct site you should:

    • Ensure that your consent form specifies the correct procedure, site and side for the surgery or the procedure. Before the pre-operative medication is administered, the members of the clinical team will verify the correct site of the surgery/procedure against information written on your consent form and medical records. If information is missing or incorrect, do not sign the form until the information is correct and complete. If you have already signed the form ask to see it again to confirm that this information is correct.
    • Ensure that your full name, date of birth, the type of procedure you are having and the site and side are verified. Before receiving any medication, a member of the clinical team will ask you to state your full name, date of birth, and the procedure you are having, and the site and side of the procedure. This information will be cross checked with the identifiers on your arm band, medical record and consent form.
    • Ensure that the correct side or site is marked on your skin. A member of the clinical team will mark the correct side or site of the procedure before the administration of the pre-operative medication. If this mark is incorrect, falls or wears off please advise the staff immediately.
    • Before the surgery or procedure starts, all members of the clinical team will take a final “team time out” to verify the presence of the correct patient, the correct type of procedure to be performed, that the correct site has been marked and (if necessary) the correct prosthesis is ready.
  • Clinical Handover

    which describes the systems and strategies for effective clinical communication whenever accountability and responsibility for a patient’s care is transferred.

  • Blood and Blood Products

    which describes the systems and strategies for the safe, effective and appropriate management of blood and blood products so the patients receiving blood are safe.

  • Preventing and Managing Pressure Injuries

    which describes the systems and strategies to prevent patients developing pressure injuries and best practice management when pressure injuries occur.

     

    Preventing Pressure Injuries

    A pressure injury or ulcer is a sore, a break or blister of the skin that is commonly caused by constant unrelieved pressure on an area of the body for a long period. Pressure ulcers can be painful, take a long time to heal and may reduce mobility.

    It is immobility that causes pressure injuries. In the majority of cases pressure injuries are preventable if the prevention strategies are followed. Consider not only reducing immobility, but also factors such as nutritional status, skin integrity, mobility, age and level of oxygenation of the blood to pressure point injuries.

    The following steps should be taken to prevent getting pressure injuries.

    • Ensure good posture when sitting in a chair. Avoid sitting in a slumped position. Always sit up straight with your bottom in the back of the chair and with your back resting against the back of the chair.
    • Change your body position frequently if lying in bed for a prolonged time. The staff will instruct you to change your position if necessary while you are in the operating theatre.
    • Use special mattresses, heel elevators and jelly protectors to help relieve the pressure.
    • Inspect your skin for early warnings of redness that does not go away, broken or blistered skin, localised pain, tingling or numbness. If you cannot see all your body ask someone to help you.
    • Bathe or wash with warm water and a mild cleanser or soap that does not make the skin dry.
    • Use a moisturising lotion to prevent your skin drying out. Avoid vigorous massage or rubbing the skin, as this can damage the underlying tissue.
    • Keep your skin clean and dry at all times. If you use a continence device to control your bowel or bladder, it is important that you change it regularly to keep the skin clean and dry and reduce skin irritation from urine and faeces.
    • Apply a special dressing to the existing pressure area or potential area to protect the site.
    • Ensure your nutrition and hydration is optimal. If you think you have a pressure injury or ulcer or are developing a pressure ulcer, it is important to tell the nursing staff at the time of the pre-operative phone call and at admission.
  • Recognising and Responding to Clinical Deterioration in Acute Health Care

    which describes the systems and processes to be implemented by health service organisations to respond effectively to patients when their clinical condition deteriorates.

  • Preventing Falls and Harm from Falls

    which describes the systems and strategies to reduce the incidence of patient falls in health service organisations and best practice management when falls do occur.

     

    Preventing Falls

    Many things can increase your risk of falling, including poor balance, low blood pressure, some medications, physical inactivity, unfamiliar environments, poor eyesight and unsafe footwear. There are things you can do to reduce your risk of falling.

    The following steps should be taken to lower your chance of having a fall while in the hospital and at home post operatively.

    • Ensure you have someone staying with you overnight who can be relied upon to help.
    • Wear comfortable clothing that is not too long or loose, and low heeled, non-slip shoes that fit you well rather than slippers. Do not walk without footwear if you have therapeutic stockings or socks on.
    • Take your time when getting up from a sitting position (particularly after emptying your bladder) or lying down and let someone know if you feel unwell or unsteady on your feet.
    • Bring any walking aids you already have to hospital.
    • Always ask staff to assist you if your feel unsteady.
    • Bring your glasses to hospital.
    • Ensure that your home is free of clutter or spills especially in your bedroom and bathroom.
    • Use non slip mats in the bath and shower and by the toilet.
    • Install a night light in case you need to get up to the toilet at night. Alternatively, keep a torch beside your bed or have a bedside light that can be comfortably turned on before you get out of bed.
    • Ensure that there is adequate lighting particularly on the stairs and steps.
    • Remove rugs or mats that can slide or secure with double sided tape, Velcro or tracks.
    • Drink plenty of fluid once you have returned home and begin a normal routine.
    • Be aware of pets when moving around the house or garden.
    • Ensure you know about your medications time and dose, side effects and interactions with foods, other medicines and supplements. Make sure unnecessary medications are not prescribed and that all your health professionals have accurate information about what medications you are currently taking.
    • If you are worried about falling once you have recovered or feel that you are at risk, please contact your local doctor so that he can undertake a professional assessment and review your muscle strength, balance and medications regularly.
    • If you do have a fall, make sure you discuss it with your doctor so that you do not fall again.

Cura Group News

  • Aug 17, 2017
    Cura Day Hospitals Group welcomes new CEO/DoN to Liverpool Eye Surgery
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  • Feb 03, 2017
    Cura Day Hospitals Group to Combine with Leading Global Healthcare Provider
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  • Jan 25, 2017
    Cura Day Hospitals Group acquires Liverpool Eye Surgery
    Read more