Resources

This longitudinal assessment of a new electronic audit and feedback (e-A&F) system in a large tertiary hospital was conducted to determine the system's impact on patient safety outcomes over an extended period.

This IHI blog reinforces the importance of SPC charts and provides links to tools and guides for their use. 

Root Cause Analysis (RCA) is a valuable tool in healthcare for identifying systemic factors that contribute to errors. However, its traditional deterministic approach often focuses on finding a single root cause, typically human error, which can limit its effectiveness in preventing future adverse events. This narrow focus is compounded by hindsight bias, where the outcome influences how past decisions and actions are judged. As a result, conventional RCA can inadvertently damage organisational culture by attributing blame instead of addressing system-level issues.

The Registry of Senior Australians (ROSA) have released its latest ROSA Outcome Monitoring System (OMS) report, a quality and safety monitoring and benchmarking system designed to promote quality improvement, transparency, and accountability for the aged care sector.

What is the role of benchmarking data in good clinical governance? In this webinar, Health Roundtable discussed the role of risk-adjusted benchmarking and how it works, examples of where data has been used to improve clinical governance, how to make data accessible to clinicians and evidence to make the case for improvement.

Across human services, organisations struggle with the right response to quality data. Too often we spend time and resources ‘fixing’ the right thing – or addressing the right thing but not fixing it.

In this webinar, Cathy Jones, Board Director and Clinical Governance Consultant discussed quality metrics and the following questions:

• How do you measure quality? 
• What’s the best way of measuring - safe? effective? person centred? connected? accessible?
• How do you find & organise all of your (387) quality metrics? 
• How to prioritise what is most important when everything is important?
• How to decide which metrics to monitor when there is so much data available - what criteria should you use to select the most important measures
• The power of measures that are relevant both at an organisation-wide level and at a unit/department level.

That depends on the answer to these questions.

In this Lightbulb Moment webinar, Dr Cathy Balding interviewed Jane Boag to discuss her "ah-ha!" moment about data - fact or fiction?

This guide has a practical emphasis and focuses on how measurement tools can assist Boards to set the right tone of assurance in patient safety. It also offers governance questions to assist Board debate and dialogue.