Quality of Care Report - Ballarat Health Services

Achievements• The use of alcohol/chlorhexidinebased rub has more than doubledover the last 18 months• Improved staff compliance with handhygiene from 74 per cent in 2006 to91 per cent in 2008.Sharps injuries and blood and bodyfluid exposures at BHSTo protect themselves and otherpatients, we have measures in place toprevent and treat injuries to staff suchas needle stick injuries as well as bloodand body fluid splashes, where staffmay be exposed to blood borneinfections.A total of 17 blood exposures fromneedlesticks were reported in 2006 and24 in 2007. From January to June2008, 14 needle stick injuries havebeen reported. Exposure managementis an identified risk and one in whichBHS is constantly striving to ensure thatexposures are kept to a minimum.Safety needles and syringes are beingtrialed in the hospital to add to ourextensive number of safety devicesalready in use.100%80%60%40%20%0%74%2006 2007 2008Staff vaccination program includingannual influenza vaccinationVaccinating staff helps to preventinfections such as ‘the flu’ movingbetween staff and patients and reducesstaff sick leave, particularly during thewinter months. Influenza vaccination isoffered to all staff from March eachyear. In 2007, 1095 out of 2553 (42.9per cent) of all staff were vaccinated,up from 787 in 2006. This rate has83.90%Series 1 Linear (Series 1)Percentage of staff compliance with the Hand Hygiene Project91.47%increased again in 2008 and all data issent to VICNISS for comparison withother hospital rates.BHS have a staff health clinicincorporating vaccinations for staff.This clinic operates twice per week andis available for all staff. Vaccinationsoffered in this clinic comply withcurrent vaccination recommendationsmade by DHS in 2007.100%95%90%85%80%75%70%92.3%91.6%93.3%89.2%2001 2002 2003 2004 2005 2006 2007 2008Weighted Score91.9%DHS AQL93.5%94.9%92.2%During the eight years of audits the Ballarat Base Hospital has consistantly (seven out of eight)rated well over the 90 per cent. This places BHS in the high achievement group. This years scoreof 92.2 per cent was slightly down on the previous two years.Clean Hospital-Clean-Departments-Clean RoomsWe carry out internal audits and anannual external audit to ensure ourclean hospital lowers the risk ofinfection to you.Cleaning standards are a performancerequirement of the Department ofHuman Services and are applicable toall relevant acute and sub acuteVictorian Public Hospitals.From 2001 to 2008 the Base Hospitalexternal cleaning scores have averagedfrom 94.5 per cent in 2007 down to89.2 per cent in 2004. Between 2001and 2005 the minimum requiredstandard was 80 per cent and from2006 onwards it was lifted to 85 percent33Ballarat Health Services Quality of Care Report 2007-08