Patient Safety and Quality

Samford Road Day Hospital’s Patient Safety & Quality Standards

Patient safety and the provision of high-quality healthcare at Samford Road Day Hospital are reflected in the values, culture, corporate and clinical governance, and day-to-day operations of our hospital.

Owned and operated by reputable healthcare provider, Montserrat Day Hospitals, Samford Road Day Hospital is committed to providing an individualised, patient-centred experience each and every time, ensuring excellent patient care and outcomes in a safe, caring and friendly environment. The Montserrat Day Hospital Group has a robust Quality Management System and framework that covers the care and services delivered at Samford Road Day Hospital.

The Montserrat Day Hospital Quality Management System is designed to monitor care outcomes, patient satisfaction and safety initiatives, manage and mitigate risks, and identify training requirements for our staff across the National Safety and Quality Health Service Standards. This system is supported by continual investment in state-of-the-art medical equipment and a highly skilled team of clinicians, nurses and support staff. All Montserrat hospitals perform various audits for compliance as per our accreditation and licensing requirements.

We report on a variety of quality scorecard indicators including:

  • Patients’ experience and feedback
  • Hand hygiene compliance rates
  • Surgical site infections
  • Fall rates
  • Medication safety
  • Unplanned returns to theatre

At all times we strive to be leaders in the provision of healthcare, upholding the National Safety and Quality Health Service Standards. As a patient, these standards provide context around the high level of care you can expect to receive at our facility.

Samford Road’s Approach to the Eight National Safety & Quality Health Service Standards

At Samford Road Day Hospital, we take our responsibility to the community very seriously. We gather important data across all aspects of our hospital to continuously improve the safety, effectiveness and quality of our services. Delivering quality, patient-focused healthcare is our commitment and our management across all levels of the organisation use clinical governance systems to achieve, monitor and regularly review our safety and quality performance.

Everyone at Samford Road Day Hospital – nurses, clinicians, management, the board of Directors and support staff have accountability to patients and the broader community for assuring the delivery of our healthcare is safe, effective, high quality and continuously improving.

Both consumers and patients partner with Samford Road Day Hospital to assist in the planning, design, delivery, measurement and evaluation of our healthcare facility. These partnerships are very important as they help to guarantee quality patient outcomes and safety standards, whilst also benefiting patients’ carers and families, our clinicians and other healthcare providers. Partnerships have a positive effect on service planning, evaluating and development at Samford Road. These partnerships refer to:

  1. The relationship between clinician and patient at the point of care; a relationship founded on Samford Road Day Hospital’s values of respect, integrity, collaboration, innovation and compassion.
  2. Patients, carers, families and consumers involvement in planning, implementing and evaluating change at the department level at our facility.
  3. Consumers or patients’ involvement in the governance, policy and planning of our healthcare service, focusing on key areas like patient safety, facility design, quality improvement, patient or family education, staff education and training, ethics and research. Partnerships with the broader community may also occur at this level.

Samford Road Day Hospital has robust systems in place to mitigate the risk of infection, foster good antimicrobial stewardship, and support appropriate, safe and sustainable use of infection prevention and control resources.

We adopt a precautionary, proactive approach whilst upholding the highest standards in hygiene and cleanliness. We have high compliance rates of hand hygiene, and a well-maintained facility that is optimised for patient flow. Our approach to preventing, controlling and responding to infections is well supported by the policies, processes and systems we have in place, creating a safe environment for patients, visitors and members of our workforce.

Medicines are the most widely prescribed treatment in healthcare and contribute significantly to improvements in patients’ health when used appropriately.

Accurately and safely prescribing, dispensing and administering the appropriate medicine to patients and monitoring medicine use is a mandatory standard at Samford Road Day Hospital. Our clinicians’ duty of care ensures patients and consumers are informed about and understand their individual medical needs, and associated risks.

Before commencing an episode of care, Samford Road Day Hospital will source a patient’s best possible medication history and have this on record. We ask patients for full disclosure about their medical history, current medications, allergies and adverse drug reactions in our Online Health Assessment to be completed at least three days before admission. Our nurses ensure patients are discharged with all the necessary information including scripts to care for themselves once home.

Providing continuous and collaborative care to patients in partnership with carers, families and all members of the healthcare team is of paramount importance at Samford Road Day Hospital. Our hospital has integrated systems in place supporting our clinicians to deliver comprehensive, quality healthcare whilst mitigating and managing risk of harm.

All clinicians at our Day Hospital undertake a screening and assessment process with patients to identify potential risks that could be associated with the delivery of healthcare. Patients, their carers and families are consulted as part of this process to develop goal-oriented, comprehensive care plans.

If a patient is at risk of harm, our clinicians will deliver targeted, best-practice strategies to prevent and manage this harm from occurring. Safely managing transitions between episodes of care, and ensuring a continuum of comprehensive care are standards our clinicians abide by.

One of the best ways we support coordinated and safe patient care as well as visitor and workforce safety is through effective communication and documentation. This encompasses communication with our patients, carers and families, multidisciplinary teams and clinicians, and all business units across our organisation.

Effective communication and documentation help to mitigate high risk situations and manage patient safety. Samford Road has formal processes in place to identify patients, match care to their needs, and appropriately manage clinical handovers when information about a patient’s care emerges or changes.

Whilst there are times when communication (be it informal) in the delivery of patient care will not be recorded, our Hospital’s approach is always to formalise the communication and documentation requirements critical to patient safety at key times during the delivery of care.

Samford Road Day Hospital manages blood on an infrequent basis given the nature of our surgery and specialities. When required, we use a combination of clinical governance and quality improvement systems to appropriately manage a patient’s own blood, as well as any blood or blood products. As part of the Montserrat Day Hospital group, we have strategies and procedures in place to accurately manage the availability and safety of blood and blood products. Safety systems are in place and every care is taken to safely administer blood products to each intended recipient, and closely monitor and report any adverse reactions or incidents. This dual approach to blood management and patient care is the most effective way to ensure the appropriate and safe use of blood and blood products at our hospital.

Clinicians, nurses and support staff at Samford Road Day Hospital have a duty of care to recognise and promptly respond to changes in a person’s physiological, cognitive or mental state, otherwise known as acute deterioration. Providing patients with appropriate and timely care is part of our organisation-wide recognition and response system when acute deterioration is identified.

Early detection is critical in these situations as it may improve outcomes and lessen the intervention required when treating the patient. At Samford Road Day Hospital we understand the importance of identifying and acting on the warning signs of clinical deterioration efficiently and appropriately. Management of these circumstances draws on our approach to comprehensive care and communication and documentation for safety.

Having a highly-skilled healthcare team who understand the signs and symptoms that could signal acute deterioration, combined with our safety, quality and patient monitoring systems all help to recognise acute deterioration.

Samford Road Day Hospital’s Patient Safety & Quality Management System (QMS) Quarterly Report: October to December 2022

Samford Road Day Hospital measures quality in many areas by analysing and reporting on outcome and process measures, patient satisfaction and the hospital quality ranking.

Our core, quality principle is the continuous improvement of all processes and services supporting the care of patients. The Quality Management System (QMS) implemented across our hospital group, as previously defined allows us to deliver consistent and superior service to our patients.

As part of the Montserrat Day Hospital group, Samford Road monitors and reports on a number of quality measures including patient satisfaction surveys and the patient experience, infection prevention and control including hand hygiene compliance rates, patient incidents, medication safety and return to theatre percentiles. The policies, processes, and procedures associated with these areas are embedded in all hospital operations and workflow. Quality management focuses on continuous quality improvement as measured by consumer and patient satisfaction. Our quality structure is unique: it is integrated and further strengthened by our quality-trained nurses and medical staff.

Samford Road Day Hospital’s Quality Measures

Patient feedback provides valuable information and not only ensures that patients’ voices are heard, but by examining patients’ feedback it gives direct insight into the quality of care and patient satisfaction.  This aids in maintaining and improving the standard of care received at Samford Road Day Hospital.  We encourage patients to provide feedback using the feedback form provided or by visiting our website.

Consumer satisfaction data from Samford Road Day Hospital has been collated and graphed for analysis. The last quarter (October to December 2022) reports a very high level of satisfaction and consumer experience.

Consumer Satisfaction (Oct to Dec 2022)

Consumer Satisfaction 99.9%

Consumer Experience (Oct to Dec 2022)

Across the Montserrat Day Hospital group, we incorporate high standard precautions for infection prevention and control including:

  • Hand hygiene
  • Use of Personal Protective equipment
  • Safe use of disposal consumable equipment
  • Reprocessing of medical equipment
  • Routine Cleaning

Samford Road Day Hospital is pleased to report a 93% compliance rate in hand hygiene as of October, and zero post-surgical infections during October to December last year. This is a positive outcome highlighting the quality, clinical care we provide in a safe environment.

Patient Outcomes - Post-surgical Infections
(Oct to Dec 2022)

Safety reporting systems are a very important step for improving patient safety.  Therefore, detecting near misses and incidents enables Samford Road Day Hospital to improve practice and prevent any future adverse events. A near miss is an adverse event that has been intercepted and has not resulted in harm for example:

  • Slip or falls not resulting in injury
  • Medication error that has not resulted in harm (refer to Medication safety)
  • Pressure Injuries resulting in no harm

The occurrence of incidents data at Samford Road Day Hospital has been collated and graphed for analysis.  The last quarter for October to December 2022 reported a zero-percentage meaning there were no incidents or near misses.

Incidents of Falls
(Oct to Dec 2022)

Pressure Injuries
(Oct to Dec 2022)

Medication errors can have an impact on patient outcomes and can cause harm. Samford Road Day Hospital’s medication safety systems are in place to prevent the occurrence of medical-related incidents. Staff are trained in the safe and appropriate use of medicines. 

Medication risks are described as errors in:

  • Prescribing
  • Administering
  • Dispensing

We are pleased to advise there were no errors in the prescribing, administering and dispensing of medication at Samford Road Day Hospital from October to December 2022 – the best possible outcome in medication safety.

Medication Safety (Oct to Dec 2022)

Surgical complication requiring the unplanned return to theatre within one month of a patient’s most recent discharge from hospital is classified as an Unexpected Return to Theatre. The return subjects the patient to repeated anaesthesia risks, can be highly distressing and impact the patient and their family. Returning to the theatre generally occurs because the patient experiences one of the following:

  • Haemorrhage / bleeding
  • Wound reopening

We are pleased to advise there were no unexpected returns to theatre at our facility during October to December last year.

Unexpected Returns to Theatre (Oct to Dec 2022)