CHA Patient Safety & Quality
Special Interest Group
Paediatric Safety & Quality Curriculum
Questionnaire Responses
1. Safety & Quality Strategies
1.1 Does your organisation have a strategic plan or policy in place around safety and quality of care at your
health service?
Service
Response

Child & Adolescent Health Service WA

Children’s Health Queensland

Kaleidoscope Children’s Health Network, NSW

Monash Medical Centre, VIC

Royal Children’s Hospital, Melbourne

Townsville Hospital

Women’s & Children’s Health Network SA
1.2 Do you have a strategic plan or policy that covers safety & quality specifically for paediatric care at your
health service?
Yes, relates to all
Yes, specifically
Service
No Strat Plan
Attached Copy?
patients
Paeds




C&AHS, WA




CHQ, QLD




Kaleidoscope




Monash




RCHM




Townsville
1.3 Do you believe your organisation’s strategy is helping to improve the safety and quality of paediatric
care at your health service?
Service
C&AHS, WA
Yes
No




CHQ, QLD
Comments
We do not have a simple, effective quality plan that informs our practice, we are
reactive to incidents, audits and surveys. We need better data and ways of analyzing
the data to inform quality and change. The medical staff, in particular, do not have
clear governance around practice, credentialling and performance management. It
should be much easier to find out what is expected of you, how you will be evaluated
and the consequences
A clear strategic framework provides a road map that allows our health service to
deliver the best possible health and highest quality of service to our children and
families by:
 Outlining our vision and goals for safety, quality and performance
 Identifying current gaps and organisation-wide initiatives that will be
implemented to achieve our goals
 Identifying measures that will help know we are progressing towards achieving
those goals.
The CHQ strategy has four clear objectives: Safe; Timely, Appropriate and Effective
that ultimately contributes to providing safe, high quality Child and Family Centred
Care. It is a strategy that is simple to read and is easily recognisable through the use of
a clearly interconnected diagram. It is designed in a way that all levels of
multidisciplinary staff at CHQ can engage with.
The strategy has been implemented both for organisational-wide and clinical unit
service levels. At each of these levels the implementation strategy has been designed
to capture measurable initiatives that:
 Accurately reflect specific safety and quality challenges
 Answer the question – what is going to be done about them?
 Report on the progress of these initiatives
 Measure demonstrable improvements against the strategy goals.
The Patient Safety and Quality Improvement Strategy and PSQ Governance
Framework ‘From board to bedside’ provide direction and support for our staff to
practically contribute to an organisational culture that embeds safety and quality in
day to day practice.
Clinical governance has developed a framework around Quality and Safety which
provides guidance around what should be discussed within Q& S meetings. It also
highlights the governance structure for Q&S and what the district's, network, team,
service and staff members’ responsibilities are in Quality and Safety.
Kaleidoscope have a yearly operational plan which has a specific section on Quality
and Safety and we have developed our own framework and governance system for
paediatric services. This is because some of the paediatric services are operationally
managed by the Director of Children Young People and Families and some are not.
We have modified our structure and strategy reflect this difference. Kaleidoscope has
commenced a Quality and Safety committee that reflects district wide issues. This
communicates with the HNE District Clinical Quality and Patient Care Committee,
which also feeds up and down with JHCH and Community Health and also to the
Children Young People & Families Regional groups. The CYPFS District Clinical
Quality and Patient care Committee is a subcommittee with the Family Advisory
Council off the larger CYPFS Strategic Leadership Group. Additionally we have
working parties for each National Standards which has a mixture of managers and
clinicians and this assists to highlight that Quality and Safety is everyone's business.
The remit of these committees is to identify gaps in provision using the NS as a
framework and then identify strategies to improve.
Kaleidoscope


Monash
RCHM
Townsville





The 4 pillars of the strategic plan - Patients First, Innovation, Sustainable
Health care and Strategic Partnerships. Plus the organisation has embraced
National Standards, has a commitment to improvement and innovation and
they are building us a new Children’s Hospital!! Innovation and Quality
expertise at Monash Health is lead and coordinated through the Monash
Innovation and Quality (M!Q) unit
Organisation strategy ensures SAC 1 are being addressed in a timely manner,
and managing SAC2's & 3's before they deteriorate into SAC1's. Ongoing
support for clinical bench marking with peer hospitals. Quarterly bedside
audits to track own performance to ensure addressing the appropriate risks.
Monthly performance review reports

2. Safety & Quality Infrastructure
2.1 Does your organisation have an in-house clinical redesign school or similar?
Service
C&AHS, WA
CHQ, QLD
Kaleidoscope
Monash
RCHM
Townsville
Yes
No











Comments

Department of Health (DOH) - Clinical Access and
Redesign Unit (CARU)
Children’s Health Queensland (CHQ) - Clinical Redesign
- on a project basis
2.2 What positions do you have whose core responsibilities are in providing safety & quality improvement
support to clinical services? What competencies do you have in place for these positions?
Service
Position
Competencies
C&AHS, WA
Executive Director Quality Not sure
and Safety
EDMS
Executive Lead of the Patient Safety and Quality Service.
EDNS
Executive Co-Lead of the Patient Safety and Quality Service.
Medical Lead Patient
Safety
To drive measurable improvements in patient safety at CHQ
through engaging medical staff in implementing a best
practice approach.
Drive measurable improvements in patient safety and quality
in CHQ HHS in line with the CHQ Patient Safety and Quality
Improvement Strategy and provide strategic leadership and
operational management of the CHQ PSQS.
Provide expertise and leadership to clinicians to implement
patient safety initiatives and strategies throughout CHQ.
Develop and implement effective, reliable systems that
support staff to provide the best possible health care
experience to children and families in CHQ and address
deficits in this when these arrive.
Develop, coordinate and implement reliable, innovative,
timely analysis and reporting of patient safety and quality
data that informs and drives continuous health service
improvement.
Provide clinical audit, procedure and risk management
expertise and coordination to staff of CHQ, supporting the
function of the Patient Safety and Quality Service to ensure
safe practice and high quality outcomes.
Develop and deliver an effective set of tiered training
pathways from novice to expert that measurably and
continuously improve knowledge and skills in patient safety
and quality across CHQ.
Administrative support to the Patient Safety and Quality
Service.
Director Patient Safety and
Quality Service
Patient Safety Officer
Patient Experience
Improvement Officer
CHQ, QLD
Data Analyst
Audit and Assurance
Officer
Curriculum and Training
Officer
Administration Officer
Kaleidoscope
Monash
RCHM
Townsville
Clinical Practice
Improvement Coordinator
Network Manager portfolio for Quality and
Safety
Quality Coordinator
positions for each site and
each program whose sole
focus is on providing
quality improvement
support to clinical teams
Innovation and Quality
HMO position
(3 month rotation)
No such competencies - learn on job
Quality Coordinators come from a variety of backgrounds,
mainly clinical such as Nursing and Allied Health. They have
completed quality and safety training for example in
incident management from Department of Health Victoria.
A number of the Quality Coordinators have also completed
a Masters of Health Administration with subjects in Quality
and Safety.
The Innovation and Quality Medical Officer is a junior
medical staff member who has received an induction in
quality and safety including online and one-on-one training
and spends a 3 month rotation working in the Innovation
and Quality unit (M!Q) on practice improvement projects.
Project management and change management expertise improvement methodology and implementation training
Our Innovation team
consists of Project
Managers and Leads
whose core responsibility is
supporting staff in
improvement and
innovation activities
Improvement Lead
Institute for Healthcare Improvment (IHI)
Improvement Manager
Quality improvement
nothing mandated.
coordinator
CNC and NUM
Patient safety officers
WCHN
within hospital (1 at TTH
Medication Safety
Consultant - SA Pharmacy
support - WCHN and state
wide role
There are currently no compentency requirements for this
role or any specific training available within Australia
outside of generic patient safety training programs.
2.3 Does anyone in your organisation have a designated training position accredited by RACP or similar
nursing or allied health professional organisations, specifically for undertaking training in improvement
science? E.g similar to the Darzi Fellowships in the UK.
Service
C&AHS, WA
CHQ, QLD
Kaleidoscope
Monash
Yes
RCHM
Townsville
No



Comments

We are however currently finalising a relationship between Monash
Health and the IHI who will deliver staff training in improvement science
later in 2014.



Unsure
3. Educational Resources
3.1 What do you already do at your place re educating staff in quality & safety?
Service
Answer
C&AHS,
Mandatory Education and Training Guidelines (attached), although only for new staff, no legacy
WA
training. Not sure if older staff are required to do annual retraining other than fire safety and
emergency preparedness
Children’s Health Queensland (CHQ) Patient Safety and Quality
CHQ, QLD
Educational Resources
CHQ Orientation
- Family centred care
- PSQ
- Child safety
- Infection control
- Manual handling
Professional Update Program (PUP)
- Intro to PSQ
- Family centred care
- Medication safety
- Falls and pressure injury prevention
- Infection prevention
- Managing environmental risk- cytotoxic safety
Recognition and Management of the Deteriorating
Paediatric Patient (RMDPP)
- Recognition of the deteriorating patient
(CEWT, communication, clinical handover and
documentation)
- Management of the deteriorating Patient
(Airway/breathing, CPR/defibrillation safety,
circulation)
- Simulated Scenarios
- Mandatory CPR assessments
Human Error And Patient Safety (HEAPS)
Program
Learning Sets – various PSQ topics
Paediatric Grand Rounds (weekly) – various
topics
Recognition and Management of the Deteriorating
F2F or
eLearning
F2F -part of
1 day program
Paediatric
Context?
Yes
Developed by internal
external? By whom?
Internal – People and Cu
Training and Capability U
+ individual areas
F2F - 1 day
program
Yes
Internal - Nurse Educato
+ individual areas
F2F
3 hours
F2F
1 hour
F2F
+ PPTs on
LMS
F2F
Yes
Internal - CHQ PSQS
Yes
Internal - CHQ PSQS
Yes
Internal -Training and Ca
+ individual areas
Yes
Internal - CHQ Simulatio
Paediatric Patient (RMDPP) Workshop
- Sophisticated paediatric simulation education
- State-wide outreach program includes (train
the trainer model for RMDPP)
- In-reach component education opportunities
Paediatric Life Support - Core Skills (PLS-C)
Accessible state wide
+ prerequisite
eLearning
program and
quiz
eLearning
module + quiz
Yes
Paediatric Life Support - Advanced Skills (PLS-A)
Accessible state wide
eLearning
module + quiz
Yes
Paediatric Advanced Care in Trauma (PACT)
eLearning
Yes
Mock MET Program
F2F in clinical
environment
F2F –
simulation
pods
Yes
F2F – monthly
1 hour
F2F – annual
event
Not
specifically
No
specifically
DOH – Patient Safety U
Online module
(PDF)
eLearning
Yes
DOH – Child Safety
Yes
Both.
External – NPS – AMS m
Australian Society of Infe
Diseases, Australian Co
on safety and Quality in
Care - Infection Control
Vemco MedEd- Antifung
Stewardship Modules
Open Disclosure Consultant Training
Safety and Reliability Improvement Program
PRIME-CI (clinical incidents reporting)
F2F
F2F
F2F
Yes
Yes
Yes
Safe Infant Sleeping SIS
eLearning
Yes
Paediatric Pharmacy Learning Package
(Administration of medicines in children and Drug
Handling)
Recognition and Management of the Deteriorating
Patient (RMDP)
eLearning
Yes
eLearning
- 10 lessons
DOH – Patient Safety U
Rural and Remote and Primary Healthcare
emergency Children’s Early Warning Tool (RRE
CEWT and PHC CEWT)
Queensland Health Early Warning and Response
Systems (Just in Time Training)
eLearning
(video
presentation)
eLearning
- 1 lesson
Yes –
Lesson 4.3
CEWT
Yes
DOH – Patient Safety U
Clinical Handover at the Bedside
eLearning
(video
presentation)
eLearning
- 5 lessons
eLearning
- 6 lessons
eLearning
- 6 lessons
Yes –
explains
ADDS and
CEWT
No
No
DOH – Patient Safety U
No
DOH – Patient Safety U
No
DOH – Patient Safety U
Simulation Programs
- Multidisciplinary programs conducted in PICU
& Emergency
- Nursing programs for general clinical areas
- Allied Health program
Patient Safety Education Session – various topics
Patient Safety Forum – various topics
- Pre and post forum workshops and seminars
are also available
QH Child Safety Education Module
Antimicrobial Stewardship (AMS) - E-learning
portal
Clinical Pathways: A Users Guide
Clinician Disclosure Training
Open Disclosure Consultant Training
of Resuscitation for Kids
Yes
Internal in collaboration
Department of Health (D
Clinical Skills Developm
Internal in collaboration
DOH – Clinical Skills De
Service
DOH – Clinical Skills De
Service
Internal – NE/PICU & Em
nursing and medical sta
Internal – Nursing, medi
Health Staff
DOH – Patient Safety U
Internal – Paediatric Gra
DOH – Patient Safety U
External – Cognitive Ins
Internal –
CHQ PSQS
DOH – Clinical Skills De
Service
Internal - Pharmacy
DOH – Patient Safety U
DOH – Patient Safety U
Pressure Injury Prevention and Management
Preventing Falls and Harm from Falls
Malnutrition Prevention and Management
Applying the 3 C’s in Medical Imaging: Correct
Patient, Correct Procedure, Correct Side and Site
Coronial Management
Surgical Safety and Preoperative Checklists
(Introduction by Professor Russel Strong)
Communicating Safely: AIDET and SBAR
(includes one lesson on patient centred care)
Clinician Patient Safety Program – Essential
Learning:
- Patient Safety
- Communication
- Patient-Centred care
- Working in Teams
- Clinical Incidents
- Clinical Handover
Kaleidosc
ope
Monash
RCHM
Townsville
WCHN
eLearning
- 6 lessons
eLearning
- 5 lessons
eLearning
- 7 lessons
eLearning
- 1 lesson
eLearning
- 6 lessons
eLearning
(video
presentation)
eLearning
- 4 lessons
No
DOH – Patient Safety U
No
DOH – Patient Safety U
Yes –
lesson 7
No
DOH – Patient Safety U
No
DOH – Patient Safety U
Yes
DOH – Patient Safety U
No
DOH – Patient Safety U
eLearning
- 6 lessons
No
DOH – Patient Safety U
DOH – Patient Safety U
We have mandatory face to face an e learning packages. However there are a lot of packages to go
through to comply with all the standards for quality and safety
Clinical Incident training, Patient Centred Care workshops, Safe Practice Forums, Complaints
education, Risk Management workshops, Open discussion training in our simulation centre, Clinical
Audit training, BLS and ALS
In house training
Clinical based team coaching - Dartmouth Institute Clinical Microsystems
IHI modules - on-line school
Face to face classes
District orientation, Ward orientation (fire and safety, mandatories, etc), PA&D's, Ward meetings.
Clinical based ward inservices. Ward specific competencies (CVAD, NGT,IDC, etc.) Medication
safety (online and med calcs), Pt safety (SCAN), Manual handling, ABM, hand hygiene etc
Medication Safety
National Prescribing E Learning programs - NIMC training and medication safety modules
SA Health User Applied Labelling on line learning program
Orientation Program - all clinical staff - face to face - very little allocated time
Medication safety included in a number of nursing/midwifery programs currently run through our
Centre for Education and training
Clinical Pharamay staff conduct a number of ward based teaching sessions for medication safety.
Medication Safety Consultant involved in undergraduate nursing/midwifery programs at Adelaide
University and Uni SA
Pharmacy Clinical Manager included in 5th Medical student Paediatric Prescribing module through
Adelaide Uni
3.2 Which educational resources re Paediatric Quality and Safety are available to staff at your health
service? (please note if these resources are face to face or e-learning modules)
Service
Answer
C&AHS, WA
See above attachment for general training and draft guidelines for Mandatory Medical
Education
CHQ, QLD
See table above
Kaleidoscope
We have to face to face and e learning modules for hand hygiene. There are also specific
education if a staff member wishes to be an auditor for infection control measures, such as
hnd hygiene audits, observational audit for aseptic technique etc.
Monash
As above, which are all face to face, with the addition of Paediatric Mock Arrests and M&M
meetings
RCHM
Limited access - e-learning modules - IHI
Townsville
WCHN
Free access to IHI website and tools
Dept of Health (Vic) Webinars and workshops - Redesigning Hospital Care Program
Dept of Health (Vic) Redesign Fair
Paediatric Clinical Network events
Commission for Healthcare Improvement events
APAC (Asia Pacific IHI conference
Transition to paed, PLS/APLS, CEWT, neurovascular management, falls risk management,
pressure injury (Glamorgan), paediatric NIMC.
As above
3.3 Of the resources available, which ones are developed outside your organisation and by whom?
Service
Answer
C&AHS, WA
Not sure to be honest. There is discussion around ELMO, producing the CAHS Induction
Training module.
CHQ, QLD
See table above
Kaleidoscope
Mostly outside our organisation for e learning. Face to face is in house.
Monash
All in house - APLS for paediatric staff is out of house
RCHM
IHI Open School - Institute for Healthcare Improvement (USA)
Clinical Microsystems - Dartmouth Institute (USA)
Townsville
the majority of these resources are developed outside our region, however have been
modified to suit our specific organisation. most recently due to going to hospital and health
services, not QLD Health
WCHN
National Prescribing Service
SA Health - User applied Labelling
Currently SA Health is developing a range of High Risk Medicines toolkits( on line learning
and assessment programs)
3.4 Of the resources available, which ones have been developed by staff at your health service?
Service
Answer
C&AHS, WA
Not sure
CHQ, QLD
See table above
Monash
As above
RCHM
In house training, developed own improvement competencies based on Model for
Improvement concepts and developed own in-house tools and project management
templates
Townsville
All our resources are modified from elsewhere. We use RCH Bris and Royal Children’s Melb
for main sources.
WCHN
Orientation
Various inservice programs - high risk medicines etc
Undergraduate programs
3.5 Which educational resources/courses/modules are mandatory?
Mandatory
Why is this
Service
For which employees?
Education
mandatory?
C&AHS,
All are apparently
As required by various
Various strata of
WA
mandatory
government,
employees are
accreditation agencies
targeted, although it is
still not clear to me,
exactly what is
expected of each
employee, particuarly
support staff
Paediatric
Organisational
RN, EN
Medication
requirement –
Administration
mandated by national
Education +
legislation, standards
Assessment
and guidelines
Safe Prescribing
Organisational
requirement
Jnr Medical Officers
CHQ, QLD
All Pharmacy Staff
Core Paediatric Life
Support Education
+Assessment
Organisational
requirement –
mandated by national
standards and
guidelines
Nursing, medical &
Allied Health staff
Jnr Medical Officers,
Residents, first and
second year Registrars
and new medical staff
(with the exception of
What does mandatory mean?
Consequences
Means you are supposed to do
it
None that I can find so far, particuarly for senior
medical staff. I am sure Amy would be able to
confirm consequences for other staff, nonclinical etc
Completion of education
program and online assessment
pre-requisite, plus mandatory
attendance (PUP) plus bedside
medication assessment
In the event that any competency is not
achieved in the first assessment one further
reassessment is undertaken. Subsequent failure
to meet the required standard will be managed
through the PAD process in consultation with
the Clinical Facilitator, NUM, Nurse Educator
and Nursing Director. This process will include
negotiation of additional learning strategies
and timeframes for achievement
Meet with relevant supervisors or DDMS - an
improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
Completion of eLearning
program
National Impatient Medication
Chart Online Modules
Completion of eLearning
program
National Impatient Medication
Chart Online Modules
Completion of eLearning
program pre-requisite,
mandatory attendance and
successful completion of skills
based assessment
Completion of eLearning
program pre-requisite,
In the event that any competency is not
achieved in the first assessment one further
reassessment is undertaken. Subsequent failure
to meet the required standard will be managed
through the PAD process in consultation with
the Clinical Facilitator, NUM, Nurse Educator
and Nursing Director. This process will include
negotiation of additional learning strategies
Consultants)
Advanced
Paediatric Life
Support Education
+Assessment
Organisational
requirement
Nursing
Medical
Some allied health staff
who work in Critical
Care areas
mandatory attendance at
practical program options and
successful completion of BLS
skills based assessment
Advanced PLS course online,
including the quiz and a
practical defibrillation
assessment as part of the
standard PLS competency
assessment.
and timeframes for achievement
Meet with relevant supervisors or DDMS - an
improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
In the event that any competency is not
achieved in the first assessment one further
reassessment is undertaken. Subsequent failure
to meet the required standard will be managed
through the PAD process in consultation with
the Clinical Facilitator, NUM, Nurse Educator
and Nursing Director. This process will include
negotiation of additional learning strategies
and timeframes for achievement
Meet with relevant supervisors or DDMS - an
improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
PICU Registrars
Infection Prevention
and Control & Hand
Hygiene
Cytotoxic Safety
Blood Management
Organisational
requirement mandated by national
standards
Organisational
requirement mandated by national
legislation, standards
and guidelines
Jnr Medical Officers
Attendance RCH Medical
Orientation or online (Hand
Hygiene Australia)
For all staff at risk of
exposure to cytotoxic
substances i.e. drugs
and related waste
Mandatory attendance (PUP)
Organisational
requirement –
mandated by national
standards and
RN, EN
Completion of eLearning
program mandatory (once only)
- Patient Blood Management
Meet with relevant supervisors or DDMS - an
improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
Subsequent failure to meet the required
standard will be managed through the PAD
process in consultation with the Clinical
Facilitator, NUM, Nurse Educator and Nursing
Director. This process will include negotiation
of additional learning strategies and
timeframes for achievement
Subsequent failure to meet the required
standard will be managed through the PAD
process in consultation with the Clinical
Facilitator, NUM, Nurse Educator and Nursing
guidelines
Director. This process will include negotiation
of additional learning strategies and
timeframes for achievement
Jnr Medical Officers
Child safety selfassessment of
capability
Legislative compliance
RN, EN, AIN
Jnr Medical Officers
Manual Handling
(CHQ introduction
to the prevention
and management of
musculoskeletal
disorders/rehabilitat
ion)
Fatigue Risk
management
Kaleidosco
pe
Detect Jnr
Resus 4 Kids
Legislative compliance
All CHQ Staff
MO, RN, EN, AIN
Organisational
requirement mandated by national
standard
Completion of eLearning
programs
 Clinical transfusion practice
 Collecting blood specimens
 Critical bleeding
Mandatory attendance
(orientation) and completion of
eLearning module
Complete capability selfassessment tool
Mandatory completion of
eLearning module
Complete capability selfassessment tool
Mandatory attendance
(orientation) and completion of
eLearning module
All Medical Staff
Mandatory completion of
eLearning program plus online
assessment
Different versions for
allied health, nursing
and medical
Must pass an assessment
during the course and complete
online module
Meet with the relevant supervisors or DDMS an improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
Failure to meet the required standard will be
managed through the PAD process in
consultation with the Clinical Facilitator, NUM,
Nurse Educator and Nursing Director. This
process will include negotiation of additional
learning strategies and timeframes for
achievement
Must be completed and signed off by
supervisor/line manger
Meet with relevant supervisors or DDMS - an
improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
Failure to meet the required standard will be
managed by appropriate line manager
Meet with the relevant supervisors or DDMS an improving performance action plan (IPAP) is
initiated until such time as requirements are
completed
Nil
Monash
RCHM
Townsville
Townsville
Patient Centred
Care, Fire training, I
Belong, Quality and
Safety training
& Risk training
Nil currently.
Training is new.
Level 1
competencies will
become part of
orientation
CEO and Board
decision
All
Everyone needs to do it every 3
years
All new Managers
Needs to be done prior to
commencing in the role
Part of orientation agenda
Basic information
about model for
improvement and org
strategic focus important to link org
strategy with
improvement approach
legislation
all who attend
orientation
BSL/PLS
CVAD - only for
ports
Hand hygiene
Aseptic technique
Medication
NPS online
Paediatric NIMC
National standards
All clinical staff
Ethics, integrity and
accountability
cultural Practice
NPS on Line
learning - NIMC
training
THHS requirements
All
signifiance for safe
practice
Medical interns/TMO's
Nursing/Midwifery including medication
safety modules
Pharmacy
Fire and safety
child safety
Manual handling
User applied
Labelling
all
Nursing/Midwifery
Unable to start
Nil consequences for not attending orientation.
Expectation is that 100% of
staff complete on employment
and on a designated review
timeframe
Nil.
(NUM gets in trouble from ND!!
Meant to complete
Nil - pharmacy staff included in annual PR and D
Not that i am aware of
3.6 Of the resources available, which ones are you most proud of? i.e. which ones do you believe are the
most effective in helping to enhance the safety and quality of paediatric care at your health service?
Service
Answer
CHQ, QLD
 Paediatric Pharmacy eLearning Package - (Administration of medicines in children and
Drug Handling) – very effective from a medical education perspective
 Mock MET program and simulation programs.
Monash
Patient Centred Care training
RCHM
IHI Model for Improvement and associated training and tools
Townsville
Medication and hand hygiene
WCHN
All
3.7 Is there an educational tool or resource that you would like to showcase at the meeting in Canberra on
14 August?
Service
Yes
No
What is it?

CHQ, QLD
PSQS Educational Framework


Kaleidoscope
Monash
Patient Centred Care training - 1 hour workshop - I could run

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through it very quickly if you like
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RCHM
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Townsville
3.8 What are the gaps in educational resources related to paediatric safety and quality available to staff at
your health service?
Service
Answer
CHQ, QLD
Partnering with consumers (parental engagement in clinical care)
Multidisciplinary discussion and learning - While we have made attempts at this in our
RMDPP and Learning Sets, and many sessions / workshops are open to all disciplines there
are still large gaps – rostering / timing is a significant issue for this to occur.
Kaleidoscope
Standards for quality and safety in a community setting
Monash
Detailed improvement and project management training and sufficient ongoing
supervision and support - which we hope to achieve through IHI
RCHM
Further work is required to achieve saturation of the safety and improvement training
opportunities across the organisation
Townsville
Very difficult to access online resources (password). lack of infrastructure (computers),
lack of allocated 'free' time to allow staff to achieve uninterrupted
WCHN
There are no training programs in Australia for staff who lead medication safety within
each organisation. Currently the Institute of Safe Medication Practice(ISMP) in the US runs
a variety of programs for clinical staff.
Very little medication safety principles are taught in Undergraduate programs within the
universities
4
Building and Sustaining a Safety & Quality Culture
4.1 What does your health service currently do to foster/support a safety & quality culture at all levels of
your organisation?
Service
Answer
CHQ currently fosters a safety and quality culture at all levels by:
CHQ, QLD
 Endorsing ‘Quality & Safety’ as one of CHQs five primary organisational
strategic pillars
 Defining a clear PSQ strategic framework and supporting guidelines
 The Patient Safety & Quality Committee and establishment of relevant key SubCommittees provide PSQ governance and key strategic links
 Implementing a reporting and feedback cycle aligned to the framework, that
encourages and supports a continuous cycle of improvement
 Embedding key PSQ education and training within orientation processes for all
staff regardless of level, clinical or professional stream
 Reinforcing key PSQ best practice by providing on going access to educational
resources, and in particular, embedding key PSQ education within ongoing
professional development for multidisciplinary teams
 Communicating key PSQ messages through a variety of communication
mediums.
Kaleidoscope
Monash
RCHM
Townsville
The Patient Safety and Reliability Improvement Program – a CHQ partnership with
the Cognitive Institute.
 The move to Lady Cilento Children’s Hospital (LCCH) in November this year,
provides a unique opportunity to collectively build a culture which delivers highly
reliable and safe care centred on families and children. CHQ has entered into a
partnership with the Cognitive Institute to support leadership and staff in
achieving this goal.
 The program will initially target CHQ service leads recognising how deeply
influential they are in establishing a safety culture and quality of service. The
next stage will involve recruiting, training and utilising safety ambassadors. The
final stage will be the implementation of the ‘always checking’ programme for all
CHQ staff.
Quality and Safety is included in our monthly accountability meetings with managers.
There would be certain focus areas. We have quality and safety meetings which include
clincians and managers.
Executive and Board priority eg CEO reads out complaints and compliments at the start of
each Board meeting. Quality and safety performance metrics disseminated and discussed
broadly. Open and transparent discussions of incidents and presentation of these at Safe
Practice Forums. Improving patient experience is a high priority
Major changes in governance structures, exec visits to the wards (Great Care Rounds) and
an organisational strategy focussing on delivery of great care to engage staff in the
conversation about quality and safety
Built in 5 eduation days per year, PDL, National standards quality board, auditing/reviewing
practice, increasing support at Grade 7 level to develop leadership and management skills
4.2 What tools or resources do you currently use to engage the interest of all staff in continuous
improvement re paediatric safety & quality?
Service
Answer
CHQ, QLD
CHQ is committed to continuous quality improvement which is supported by the
Continuous Quality Improvement Procedure. CHQ currently uses the following tools and
resources to engage staff in the continuous cycle of improvement:
 Divisional reporting requirements against the Patient Safety and Quality Improvement
Strategy – quarterly reporting including key departmental actions, performance
outcome measures/KPI and 90 day status
 Audit and accreditation tools
 Feedback on accreditation and audits (for example: Queensland Bedside Audit (QBA)
 State-wide PSQ tool kits (e.g. Productive ward)
 Development of clinical pathways
 PSQ specific checklists (e.g. surgical safety, cytotoxic safety)
 PRIME incident reporting tool and relevant feedback – often case based team
discussion on lessons learned in a safe no blame environment
 Executive safety rounding
 Safety rounding within specific services
 Reporting to Learning Bulletins (PSU)
 CHQ ebullition (weekly) – Safety and Quality communication
 Nursing Leadership Development Program – all participants to complete a quality
project. Participants are extremely engaged in this process.
Kaleidoscope
We have developed audit tools that reflect the national standards. We have finalised the
acute services audit tool which includes bedside and documentation. We have nearly
finalised the same tool for community, ambulatory care and allied health and will begin a
Monash
RCHM
Townsville
trial in September. These are paper based tools and online tools. Provides analysis online
so you can see where you need to improve. We have engaged nursing, allied health,
JMO's and administration to participate in these tools
Regular bedside audits with publication of results on Quality Boards in each ward
Great Care Rounds, "Short Cuts" - 3 minute videos on our intranet, clinical team coaching
(clinical microsystems), Innovation and Improvement Committees
National standards board. ward meetings (review of PRIMES), MDT, M&M,
4.3 Of the existing strategies and tools, which ones if any do you believe are most effective, and why?
Service
Answer
Clinical
Pathways
project
–
clinicians
engaged
in this process as they see mutual
CHQ, QLD
benefit for patients, families and themselves. The actual process of developing
these is extremely beneficial.
Monash
I’m sure we can do more!
RCHM
Great Care Rounds are the most advanced strategy at this stage
Townsville
MDT (if everyone turns up), M&M.
They are multidisciplinary, and consultative. Encourages teambuilding across streams
5
Outcomes from the 14 August Meeting
5.1 What do you want the outcomes to be from the planned meeting on 14 August? What outcomes would
make you happy that this was a good use of a day?
Service
CHQ, QLD
Kaleidoscope
Monash
Townsville
Answer
 To gain a very clear understanding of the current state of paediatric safety and quality
resources
– What is out there and available?
 Identify the common gaps in paediatric safety and quality resources and discuss future
strategies to address these.
 Define what a national safety and quality curriculum for children’s healthcare
should/may look like.
 Discuss and develop a comprehensive moving forward plan from here ….
Commencement in the development of Australia wide standards
Ideas we can implement
know what people are doing, what is out there, and more importantly, what works.
begin establishing a network
5.2 Is there a strategy or tool related to building or maintaining a Q&S culture that you would like to
showcase at the meeting in Canberra on 14 August?
Service
CHQ, QLD
Kaleidoscope
RCHM
Townsville
Yes
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No
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What is it?
Cognitive Institute – Safety and Reliability Improvement Program –
Andrew Hallahan
We are happy to share our experience with audit tools if this is
appropriate
Jane Miller is presenting on the day on behalf of the RCH