The Adelaide Clinic
Part of Ramsay Health Care

CLINICAL QUALITY and SAFETY

The Adelaide Clinic is focused on the delivery of high quality, safe, and effective clinical care. We strive for high reliability and aim to create an environment in which risks and issues are anticipated, identified early, and responded to rapidly.

Ramsay Health Care’s slogan “People Caring for People” was developed more than 25 years ago and has become synonymous with Ramsay Health Care and the way we operate our business.  We recognise that we operate in an industry where “care”  is not just a value statement, but a critical part of the way we must go about our daily operations in order to meet the expectations of our customers – our patients.

Patient Safety and Clinical Quality Framework

The Adelaide Clinic operates under Ramsay Health Care’s comprehensive Patient Safety and Clinical Quality Framework which consists of five key areas designed to produce reliable, safe, and effective outcomes:

Click on the interactive framework for more details about each section

Clinical Diagram_INERT S a f e t y S t r u c t u r e C u l t u r e I m p r o v e m e n t P eople

Accreditation

Accreditation is an important driver for safety and quality improvement. All Ramsay facilities undergo formal accreditation processes against the National Standards for Safety and Quality in Health Care. Action plans to address any identified gaps are developed and implemented.

Ramsay facilities engage independent accrediting agencies approved by the Australian Commission on Safety and Quality in Health Care.


To assess the improvement in a patient’s mental health issues, our facility uses the HoNOS (Health of the Nation Outcome Scales) - an internationally recognised scale. On admission and again prior to discharge, the patient's mental health problems are assessed. A decrease in the score on discharge indicates that there has been improvement in the patient's mental health problems since their admission.

HoNOS Score

Lower score on discharge is better

 

Hospital Colour Admission
Industry Standard Colour Discharge
* Latest Other Private Hospital data

To assess the improvement in a patient’s mental health condition, our facility uses the MHQ-14 (Mental Health Questionnaire) - an internationally recognised scale. On admission and again prior to discharge, the patient assesses their mental health status. An increase in the score on discharge indicates that the patient has noted an improvement in their mental health conditions since their admission.

The graph below shows the improvement in patient's self-assessed mental health ratings.

MHQ-14

Higher score on discharge is better

 
Hospital Colour Admission
Industry Standard Colour Discharge
* Latest Other Private Hospital data

The risk of falling increases according to age with data suggesting that one third of people over the age of 65 years have one or more falls a year.

Whilst falls can occur at all ages, the frequency and severity of falls- related injuries increases significantly with age. These injuries can include minor skin abrasions, joint dislocation, fractures and head injuries. These injuries may result in hospitalisation or an increased length of stay in hospital.

The risk of falling can greatly increase when admitted to hospital due to a range of factors including illness and unsteadiness, adapting to a new environment, the introduction of new medications and walking in unsafe footwear or slippers.

In 2015 Ramsay increased the focus on falls prevention in hospitals by appointing a National Falls Prevention Advisory Group.  This group has standardized the approach to falls prevention across all Ramsay hospitals by targeting a structured risk assessment, policy and guidelines, equipment for falls prevention and clinical staff education.  Our hospitals use a number of strategies to prevent falls and these include: targeted hourly rounding of patients identified as high risk of falling; ensuring that call bells and personal items are within patient reach; call bells are answered promptly and patients are assisted to the toilet at regular intervals. In addition, Ramsay has purchased low beds, falls mats, and patient alarms to minimise the risk patients falling whilst in our hospitals.

All Patient Falls

Lower score is better

 
Hospital Colour The Adelaide Clinic
Industry Standard Colour Average Industry Rate

 

Patient Falls resulting in fracture or head injury

Lower score is better

 
Hospital Colour The Adelaide Clinic
Industry Standard Colour Average Industry Rate

 

 

Our Falls Prevention brochure entitled 'Keeping on your Feet' has more information on preventing falls.

Our hospital reviews patients who have an unplanned readmission to hospital following discharge. Monitoring of this information is very important as it provides an indication of the effectiveness of our discharge planning processes.

Unplanned Readmissions within 28 Days

Lower score is better

 
Hospital Colour The Adelaide Clinic
Industry Standard Colour Average Industry Rate

Medicines are commonly used to treat a variety of conditions in the healthcare setting and therefore it is important to measure the risk of errors.  The Adelaide Clinic is continually reviewing and implementing a range of medication safety strategies to further improve performance in this area.

The Australian Commission on Safety and Quality in Health Care has introduced a number of safety initiatives for medication administration and reconciliation and The Adelaide Clinic has adopted many of these strategies. This includes the National Inpatient Medication Chart which standardises the documentation on how medicines are prescribed and ordered.  Adoption by The Adelaide Clinic of the User-Applied Labelling of Injectable Medicines recommendations has assisted in preventing medication errors related to the wrong route, dose or medication being administered.

In addition, The Adelaide Clinic has medication administration policies and processes in place which have been developed using best practice principles.

The Adelaide Clinic takes all medication errors very seriously. We encourage staff to report all errors no matter how minor they may seem. All medication incidents are investigated and actioned. Any serious medication incidents are investigated thoroughly and monitored by the national Clinical Governance Unit.

Medication Safety Errors

Lower score is better

 
Hospital Colour The Adelaide Clinic
Industry Standard Colour Average Industry Rate

Pressure injuries are wounds which form as a result of prolonged pressure to an area of skin. Pressure injuries are recognised worldwide as a common cause of harm to patients and could cause significant pain and discomfort which may result in a slower recovery for the patient.

The Adelaide Clinic is well equipped with the latest equipment to assist staff to prevent these injuries from occurring. Patients are risk-assessed on admission using an evidenced-based tool.  Staff follow a care plan which is targeted to minimising a patient’s risk of developing a pressure injury for those patients assessed as high risk. This includes inspecting the patient’s skin frequently, managing moisture, keeping the skin dry, optimising nutrition and hydration and moving the patient frequently or using special pressure relieving mattresses when needed.

Patients Developing Pressure Injuries Whilst in Hospital

Lower score is better

 
Hospital Colour The Adelaide Clinic
Industry Standard Colour Average Industry Rate

Our Pressure Injury Prevention brochure has more information on preventing pressure injuries.

The Adelaide Clinic focuses on listening and responding to the needs of our patients. Your feedback allows us to continually evaluate and improve on all aspects of our performance.

We encourage feedback from our patients via our website; or via our patient satisfaction surveys.  It is advisable that you express your concerns before you leave the hospital so we can fix any problems for you. The nurse in charge of your ward is a good start but if you remain concerned please ask to speak to a Director or Assistant Director of Nursing/Clinical Services.

Alternatively, there are a number of other ways that you can voice a concern. Our website contains a link to the Private Patients Hospital Charter and this suggests a number of ways for you to express your concerns.

 

Initiatives to improve your care

Cardiac Care

The Ramsay Rule

An initiative that allows patients, their relatives, or carers, to call for rapid assistance when they believe something is ‘not right’ with the clinical condition of the patient.

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Cardiac Care

Speak Up for Patient Safety

An evidence-based framework which escalates awareness of patient safety and encourages staff to challenge potentially risky behaviour.

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