NSQHS Standards

Question 1

8 NSQHS Standards

Answer 1

1. Clinical governance
2. Partnering with consumers
3. Preventing & controlling infections
4. Medication safety
5. Comprehensive care
6. Communicating for safety
7. Blood management
8. Recognising & responding to acute deterioration

Question 2

Standard 1

Answer 2

1) Leaders set up and use clinical governance systems - e.g. organisational/clinical leadership and culture.
2) Safety and quality systems integrated with governance processes - e.g. policies/procedures, QI, risk management, incident management, open disclosure, feedback & complaints, healthcare records, high-risk groups.
3) Workforce has right qualifications, skills and supervision - training, performance management, credentialing, scope of practice, roles/responsibilities, EBP.
4) Safe environment for care

Question 3

Standard 2

Answer 3

1) Clinical governance/QI systems support consumers to be partners
2) Patients are partners in their care - patient rights, informed consent, shared decision-making and planning.
3) Effective communication with consumers
4) Consumers are partners in design/governance of organisation

Question 4

Standard 3

Answer 4

1) Clinical governance/QI systems in place to prevent/control infections - e.g. surveillance
2) Evidence-based systems - standard & transmission-based precautions, hand hygiene, aseptic technique, invasive medical devices, clean/safe environment, workforce screening & immunisation.
3) Standards for reprocessing reusable equipment
4) Antimicrobial stewardship

Question 5

Standard 4

Answer 5

1) Clinical governance/QI systems support medication management
2) Documentation of best possible medication history - medication reconciliation, adverse drug reactions.
3) Continuity of medication management for patient and clinicians - medication review, patient information, medicines lists.
4) Safe medication management process - information/decision support tools, safe/secure storage and distribution, high-risk protocols.

Question 6

Standard 5

Answer 6

1) Clinical governance/QI systems support comprehensive care
2) Comprehensive care plan developed - clinical assessment, risk screening, collaboration with consumers.
3) Delivering comprehensive care (incl. EOL care)
4) Minimising harm to at-risk patients - pressure injuries, falls, nutrition/hydration, delirium/cognitive impairment, self-harm/suicide, aggression/violence, restrictive practices (restraint/seclusion).

Question 7

Standard 6

Answer 7

1) Clinical governance/QI systems support effective communication
2) Correct identification and procedure matching
3) Structured clinical handover
4) Effective communication of critical information
5) Documentation of essential information

Question 8

Standard 7

Answer 8

1) Clinical governance/QI systems support safe blood management
2) Appropriate clinical use of blood - conserving patient’s own blood, documentation, prescribing/administering, reporting adverse events.
3) Effective management of availability of blood products - storing/distributing/tracing, availability.

Question 9

Standard 8

Answer 9

1) Clinical governance/QI support recognition/response systems
2) Recognition of acute deterioration & escalation of care
3) Appropriate & timely response