clinical indicators - Australian and New Zealand College of ...

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1. CLINICAL 2. SUPPORT1.3 Appropriate care and services areprovided to consumers / patients.1.3.1 Health care and services areappropriate and delivered in the mostappropriate setting.1.4 The organisation provides careand services that achieve expectedoutcomes.1.4.1 Care and services are planned,developed and delivered based on thebest available evidence and in the mosteffective way.1.5 The organisation provides safecare and services.1.5.1 Medications are managed toensure safe and effective consumer /patient outcomes.1.5.2 The infection control systemsupports safe practice and ensures asafe environment for consumers /patients and healthcare workers.1.5.3 The incidence and impact ofbreaks in skin integrity, pressure ulcersand other non-surgical wounds areminimised through wound preventionand management programs.1.5.4 The incidence of falls and fallinjuries is minimised through a fallsmanagement program.1.5.5 The system to manage samplecollection, blood, blood components /blood products and patient bloodmanagement ensures safe andappropriate practice.1.5.6 The organisation ensures that thecorrect consumer / patient receives thecorrect procedure on the correct site.1.5.7 The organisation ensures that thenutritional needs of consumers /patients are met.1.6 The governing body is committedto consumer participation.1.6.1 Consumers / patients, carers andthe community participate in theplanning, delivery and evaluation of thehealth service.1.6.2 Consumers / patients are informedof their rights and responsibilities.1.6.3 The organisation meets the needsof the consumers / patients and carerswith diverse needs and from diversebackgrounds.Anaesthesia Clinical Indicators Version 5.12.3.1 Health records management systemssupport the collection of information and meetthe consumer / patient and organisation‟s needs.2.3.2 Corporate records management systemssupport the collection of information and meetthe organisation‟s needs2.3.3 Data and information are collected, storedand used for strategic, operational and serviceimprovement purposes.2.3.4 The organisation has an integratedapproach to the planning, use and managementof information and communication technology(I&CT).2.4 The organisation promotes the health ofthe population.2.4.1 Better health and wellbeing is promoted bythe organisation for consumers / patients, staffand the wider community.2.5 The organisation encourages andadequately governs the conduct of healthand medical research to improve the safetyand quality of health care.2.5.1 The organisation‟s research programdevelops the body of knowledge, protects staffand consumers / patients and has processes toappropriately manage the organisational risksassociated with research.Key:Mandatory CriteriaACHS Clinical Indicator User Manual 2011 7
INDICATOR AREA 1: PRE-ANAESTHESIA PERIODIndicator TopicAdequate pre-anaesthesia assessment of the surgical patient.Anaesthesia Clinical Indicators Version 5.1RationaleConsultation by an anaesthetist is essential for the medical assessment of a patient prior toanaesthesia for surgery or other procedure to ensure that the patient is in the optimal statefor anaesthesia and surgery.The consultation must take place at an appropriate time and place prior to anaesthesia andsurgery in order to allow for adequate consideration of all factors.Pre-anaesthesia consultation facilities must include appropriate equipment and space toallow for a consultation and clinical examination in privacy. An appropriately equippedconsulting room or single bed hospital room is most appropriate.Type of IndicatorThis is a comparative rate based indicator addressing the process of patient care.Desired Rate1.1 – HighDefinition of TermsFor the purpose of Indicator 1.1The pre-anaesthesia consultation refers to Recommendation on the Pre-AnaesthesiaConsultation Review PS7 (2008) (Appendix 5).The visit should preferably be conducted by the attending anaesthetist but may beconducted by one of the medical members of the same anaesthetic department or group.Note: This indicator applies to emergency as well as elective procedures; Patients for non-elective surgery (including emergency patients) who undergo aprocedure on the day of admission should be included as well as patients for nonelectivesurgery who undergo a procedure on any subsequent day; Diagnostic and therapeutic procedures such as E.R.C.P, radiological interventions,cardioversion, and gastroenterology endoscopy patients should be included.ACHS Clinical Indicator User Manual 2011 8
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Page 45 and 46: REFERENCESSafety of Anaesthesia in
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Review PS8 (2008)AUSTRALIAN AND NEW
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3.2.3 Supervised practical experien
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(d) Invasive Techniquesincluding in
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AUSTRALIAN AND NEW ZEALAND COLLEGE
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2.8 Unexpected extreme sensitivity
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5.7 If an appropriately trained med
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Intravenous anaesthetic agents such
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All College Professional Documents
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APPENDIX IIIPersonnel for Procedura
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Review PS4 (2006)AUSTRALIAN AND NEW
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4.2.1 means for manual ventilation
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6.7.3 specify the type of apparatus
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