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quality EDucation

Welcome to quality EDucation. A central location of resources related to the quality and safety priorities of the emergency medicine program.

The quality EDucation initiative aims to simplify quality and safety information and messaging, while also providing staff with regular information about how we perform in against important quality and safety metrics. Communication about quality and safety will come in three forms:

Themes of the week:

Each week a Theme of the Week (TOTW), will be published on the unitED microsite. The TOTW will focus on a very specific quality and safety topic. The TOTW will be presented and discussed at pre-shift huddles through the week, and staff will be invited to discuss any issues related to that topic with their peers and their line manager.

Quick Reference Guides:

A suite of easy to understand Quick Reference Guides (QRGs) will be developed to support staff to keep up to date with clinical and operational best practice in the department. Most QRGs will link to a department or organisational Policies, Procedures or Guidelines. The content of the QRG will summarise the key information of the PPG. In some cases PPGs will be produced to promote a change in practice, supporting staff to adopt the change.

Know how we are doing:

Each week a new know how we are doing update will be published on the unitED microsite. The information in these update’s will communicate our performance against important quality and safety priorities. The aim of sharing this information with staff is to promote a conversation about opportunities for improvement, while highlighting the areas where we perform very well.

quality EDucation - our program January to July

January - important upcoming quality and safety changes

In January we are introducing some important changes.

Emergency Department Observation Chart

The ED Observation chart is changing. The changes predominately impact the charts risk screening questions. These changes have been implemented to make sure our departments comply with Standard – 5: Comprehensive Care of the National Standards.

Staff should observe and understand changes to following sections of the observations chart:

  • Behaviours of Concern Chart
  • Valuables Management
  • Alcohol and Other Drug screening
  • Mental Health screening
  • Delerium screening
  • End of Life Care screening.

The following documents are available, will support staff to familiarise themselves with the changes.

Management of Behaviours of Concern

The Western Health Emergency Departments, are industry leaders in the early identification  of behaviours of concern that can lead to incidents of occupational, violence and aggression. Early identification often of these behaviours reduces the incidents of occupational violence and aggression in our departments.

In January we are implementing some changes to further improve how we manage behaviours of concern in our Emergency Departments. These changes include:

  • Introducing non-invasive searches for all section-351 arrivals.
  • Altering the BOC chart to include the observation or sleeping and the ability to score W for worried.
  • Clinically commissioning the Behavioural Assessment Room at Footscray ED.

To familiarise yourself with the changes the following documents are available.

February 2021 - Communicating for Safety

Nursing Leads

  • SH- Georgina Stewart & Gina Huynh
  • FH- Eloise Carter
  • WTN- Theresa Wilkie

Theme of the Week

  • Week 1 – ISBAR
  • Week 2 – ED to ward handover
  • Week 3 – EMR Documentation, Alerts and Allergies
  • Week 4 – Discharge to community

QRGs

Resources
Mandatory Training
  • Manual Handling
  • Performance Reviews
  • BLS/ALS
Quality Improvement Projects
Audit Schedule
  • Clinical handover audit
  • Documentation audit – including restraint documentation

March 2021 - Clinical Governance & Partnering with Consumers

Nursing Leads

  • SH- Kimberley Nini, Sarah Beer & Julius Salantes
  • FH- Nerina Fiamengo
  • WTNRaymund Alelis

Theme of the Week

  • Week 1 – Best Care Framework
  • Week 2 – Riskman
  • Week 3 – Closing gap
  • Week 4 – Patient stories

QRGs

Resources

  • Standard 1 PP
  • Standard 2 PP
  • Patient Story/feedback
  • KHDB
  • Standard 1 Q & A
  • Standard 2 Q & A
  • Aboriginal Health culture safety plan
  • ATSI factsheet
  • Closing the gap poster
  • Australian Charter of HealthCare Rights in Victoria

Mandatory Training

  • Occupational Violence and Aggression
  • Positive Workplace behaviours
  • Fire and Emergency Procedures
  • Performance Reviews
  • BLS/ALS

Quality Improvement Projects

Audit Schedule

April 2021 - Preventing and Controlling Health Care Associated Infection

Nursing Leads

  • SH- Anjela Legaspi & Stacey Appleton
  • FH- Alexis Tajkman
  • WTN- Liz White

Theme of the Week

  • Week 1 –Introduction to Preventing and Controlling Health Care Associated Infections
  • Week 2 – ID screening
  • Week 3 – Standard and transmission based precautions
  • Week 4 – Cleaning patient equipment

QRGs

Resources

Mandatory Training

  • ANTT
  • Hand Hygiene
  • Performance Reviews
  • BLS/ALS

Quality Improvement Projects

Audit Schedule

May 2021 - Comprehensive Care

Nursing Leads

  • SH- Voula Munro & Michelle Mizzi
  • FH- Chantelle D’Souza
  • WTN- Sherrie Gibson

Theme of the Week

  • Week 1 – End of Life Care / Advanced care plan
  • Week 2 – Skin assessment and pressure injuries
  • Week 3 – Delirium
  • Week 4 – Falls

QRGs

Resources

Mandatory Training

  • Falls Risk
  • Performance Reviews
  • BLS/ALS

Quality Improvement Projects

Audit Schedule

June 2021 - Medication Safety and Blood Product Management

Nursing Leads

  • SH- Suzie Bafataki & Chris Poropat
  • BH- Arthur Mantzaris
  • WTN- Liz White

Theme of the Week

  • Week 1 –Pathology Ordering
  • Week 2 – Medication Rights
  • Week 3 – Pharmacological Management of Acute Behavioural Disturbance
  • Week 4 – APINCH

QRGs

  • Acute Sedation
  • Alert and Allergy Surveillance in the Emergency Department

Resources

Mandatory Training

  • Blood Management
  • Performance Reviews
  • BLS/ALS
  • Pain Management

Quality Improvement Projects

Audit Schedule

August - quality EDucation Grand Round

Nursing Leads

  • SH- Georgie Stewart, Chris Poropat, Julie Spencer
  • FH- Christine Hoath
  • WTN- Jodie Benson, Leo Gregor

Theme of the Week

  • Week 1 – Patient ID
  • Week 2 – IVC Management 
  • Week 3 – Clinical Handover
  • Week 4 – Pathology Ordering
QRGs

Resources

Please review the webinars and  associated content located at

Theme of the Week

 

Mandatory Training

Quality Improvement Projects

Audit Schedule

October 2021 - Recognising and Responding to Acute Deterioration

Nursing Leads

  • SH- Amanda Villavicencio & Renee Grech
  • FH- Tanya Boghikian
  • WTN- Theresa Wilkie

Theme of the Week

  • Week 1 – Adult Deterioration
  • Week 2 – Paediatric Deterioration
  • Week 3 –Mental Health Deterioration
  • Week 4 – Obstetric Emergencies

QRGs

Resources

Mandatory Training

  • Paediatric Sedation
  • Nurse Initiated x-rays
  • Performance Reviews
  • BLS/ALS

Quality Improvement Projects

Audit Schedule

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The aims of quality EDuctaion:

Our vision for the  quality EDucation project, is to create a set of resources that support staff to provide Best Care on the floors of our EDs.

We also hope that these resources and the project, promote open conversation about patient safety and quality care in our departments.

We invite staff to actively discuss the themes of the week with their colleagues and the leadership team. If you have an improvement idea we would like to hear about it.