Gisborne Hospital Report - Health and Disability Commissioner

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Gisborne Hospital 1999 – 2000 Patient Care in ICU and Surgery 5.8 I have been provided with information indicating that Tairawhiti District Health has commenced a number of positive initiatives to address the concerns identified by the anonymous nurse, and the issues identified in the external reviews it has commissioned. 5.9 Implementation of these initiatives, and Tairawhiti District Health’s positive response to the recommendations made in this report, reassure me that the public can have confidence in the standard of patient care in ICU and Surgery at Gisborne Hospital. 179
RECOMMENDATIONS Quality Assurance Systems at Gisborne Hospital 1. The effectiveness of the Tairawhiti District Health quality system should be evaluated and changes made immediately to ensure a systematic approach to quality improvement that ensures all services and staff have responsibility for, and are involved in, quality activities. 2. In consultation with staff the definition of quality to be used should be reviewed. 3. A robust quality planning process with involvement of staff should be established and implemented. 4. A range of quality activities that reflect the needs of internal and external customers should be undertaken. 5. Information on quality activities should be presented in a way that demonstrates the range and effectiveness of these activities. 6. Ongoing monitoring of performance against procedures, policies, protocols and standards should be undertaken. 7. Clinical case reviews by specific professional groups and multidisciplinary teams should occur. 8. Credentialling for medical staff should be established. 9. Individual quality activities should be reviewed and improvement demonstrated. 10. Tairawhiti District Health should develop an orientation programme suitable for newcomers to the area and to New Zealand. This should include an introduction to the Code of Health and Disability Services Consumers’ Rights. 11. New recruits should be supervised through their first weeks so that they have the opportunity to clarify issues and learn how to handle matters at Gisborne Hosptial. 12. The quality programme should be evaluated on an annual basis. 13. Data collection, analysis and reporting processes should be reviewed ensuring staff receive feedback eg on patient satisfaction. 14. Quality assurance activities undertaken under the Medical Practitioners Quality Assurance Activity: Tairawhiti Notice 1998 should be reviewed to ensure that the statutory purpose of encouraging “effective quality assurance activities in relation to health services provided by medical practitioners” and “improving the practices” of medical practitioners (Medical Practitioners Act 1995, sections 66(1), 67) is fulfilled. 180
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GISBORNE HOSPITAL 1999 - 2000 A rep
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Page 201: GLOSSARY ABBREVIATIONS A&E A,T&R AQ
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Gisborne Hospital Report - Health and Disability Commissioner

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