Research and Publications

Quality Matters - The Newsletter of HNE Health Clinical Governance

Quality Matters is the monthly newsletter of Hunter New England Health Clinical Governance. It is designed to provide snapshots of initiatives, themes and events in quality and safety within Hunter New England Health, and in NSW, Australia and internationally.

Comments and queries about the Newsletter are most welcome – please contact the Editorial Team at: or on telephone on 4921 1468.

The current Editorial team are: Dr Kim Hill, Professor Anne Duggan, Ms Barbara March, Ms Tracey Camburn and Ms Penny Plumridge.

Each Edition can be accessed below - please click on the relevant edition:

2012
January 2012 Issue No. 61 Guest Editorial: By Darrin Gray, Acting Director HNE Imaging and Breast Screen Update on Pathology In Profile... Tammy Hodges IIMS Reporting HNE Health Libraries latest news Root Cause Analysis Review HNE LHD Quality Awards 2012
2011
October 2011 Issue No. 58 Guest Editorial: ISBAR by Mandy Hunter Clinical Unit in Ethics and Health Law Seminar Update is on... ISBAR in our Communication In Profile... Penny Plumridge Root Cause Analysis Review BJM Learning brought to you by HNE Health Libraries 20 Quality & Scientific Program	November 2011 Issue No. 59 Guest Editorial by Kathleen Schelling Clinical Unit in Ethics and Health Law Seminar Update is on... The Statewide Clinical Leadership Program In Profile... Tony Austin Root Cause Analysis Review HNE Health Libraries 2011 Christmas Quiz Results from the 2010 Patient Experience Survey Farewells and best wishes	December 2011 Issue No. 60 Guest Editorial: Andi Pramono ACHSM Management Trainee Update on... Clinical Documentation In Profile... Elizabeth Dewhurst ISBAR here to stay! Root Cause Analysis Review 2011 Christmas Quiz Winner Safety Alert Broadcast System HNE Health Libraries latest news
July 2011 Issue No. 55 Guest Editorial: Professor David Durrheim and Dr Carolyn Hullick Clinical Unit in Ethics and Health Law Seminar Update is on...Sepsis In Profile...Dr Meredith Caelli, Risk Manager (Clinical) Root Cause Analysis Review Royal Newcastle Hospital Heritage Oration	August 2011 Issue No. 56 Farewell to Kim Hill Guest Editorial: Dr Tim Lyons Clinical Unit in Ethics and Health Law Seminar Update is on...The New Death Audit Database In Profile...Maryanne Fernandez, Acting ESS Manager Root Cause Analysis Review Information Privacy, things you need to know 2011 Quality & Scientific Program - Register Now	September 2011 Issue No. 57 Guest Editorial: Professor Pat McGorry Clinical Unit in Ethics and Health Law Seminar Update is on... Speaking up for Safety and Civility ISBAR Week In Profile: Kelly Bell Root Cause Analysis Review Quality Systems Assessment (QSA) Looking for Mental Health Information & Resources NSW Health Safety Alerts Complaints Quarterly Report Clinical Equipment User Manual
April 2011 Issue No. 51 Guest Editorial: Dr Tony Austin (formerly Acting Associate Director Clinical Governance) Update is on....HNE Health Annual Quality Awards Root Cause Analysis Clinical Unit In Ethics and Health Law Seminar Medications and You HNE Health Incident Management Report	May 2011 Issue No. 52 Guest Editorial: Dr Margaret Lynch Update is on...MATCH UP - Medications Reconciliation Prevents Harm Root Cause Analysis Clinical Unit in Ethics and Health Law Seminar	June 2011 Issue No. 54 Guest Editorial: Professor Stephen Deane Update is on...Surgical Safety Checklists Clinical Unit in Ethics and Health Law Seminar In Profile: Donna Gillies, Surgical Safety Checklist Project QSA Update Root Cause Analysis Review NSW Health's Safety Alert System Highlights from Medication Safety Week Grand Rounds Clinical Governance Staff Changes
January 2011 From the Director Guest Editorial: Dr Petere Saul Update is on....Risk Management Root Cause Analysis Clinical Unit in Ethics and Health Law Seminar ISBAR Christmas Quiz Winners Hunter New England Health Guideline for Guidelines	February 2011 Issue No. 50 From the Director Guest Editorial: Dr John Fisher Update is on....The HNE Health Transfusion Medicine Improvement Program Root Cause Analysis Clinical Unit in Ethics and Health Law Seminar The Importance of Involving Complaints Notification of Salmonella	March 2011 Issue No. 51 From the Director Guest Editorial: Dr Peter Finlayson Update is on....Between the Flags; Keeping Patients Safe ACHS Survey Outcomes Clinical Unit in Ethics and Health Law Seminar Root Cause Analysis Review Save the Date - The 2011 Quality and Scientific Program dates Recruitment - Acting Area Quality Manager Complaint Performance Indicators Report
2010
October 2010 Issue No. 46 From the Director Guest Editorial: Rachel Peake, Stroke Care Coordinator, Tamworth Hospital "We're All Here for Patients" Update is on.... ISBAR Clinical Unit in Ethics and Health Law Seminar Root Cause Analysis Review Venous Thromboembolism Prevention Reflections on the Fifth Annual Quality Exposition and Scientific Program NSW Health Safety Alerts	November 2010 Issue No. 47 From the Director Guest Editorial: Professor James Isbister Clinical Unit in Ethics and Health Law Seminar Update is on....Venous Thromboembolism (VTE) Prevention Initiative Transport of Health Care Records within and between Health Care Facilities Root Cause Analysis Review Farewell to Ms Pru Clark, Ms Alison Fullbrook, Dr Stephen O'Mara and Ms Vicki Martens	December 2010 Issue No. 48 From the Director Guest Editorial: Angela Smith Librarians: Partnerships for Patient-safety and Quality Care Update is on....Introduction of New Interventional Procedures Root Cause Analysis Review Clinical Unit in Ethics and Health Law Seminar Quality Systems Assessment NSW Health Patient Survey 2011 Modular Clinical Leadership Program
July 2010 Issue No. 43 From the Director Patient Identification and Labelling of Medical Investigation Orders Quality Award Finalists Quality Exposition and Scientific Program Root Cause Analysis Review Clinical Unit in Ethics and Health Law Seminar - 2010 Memorial John McPhee Seminar Sounding Board - Review of Journal Article	August 2010 Issue No. 44 From the Director Guest Editorial: Looking in the Rear View Mirror can assist us Driving Forwards Rights and Responsibilities Death Audit Database (DIH) Root Cause Analysis Review CEUHL In Profile: Mr Gary Martin	September 2010 Issue No. 45 From the Director Quality Systems Assessment Update is on.... Dealing with Difficult Patients Open Disclosure Root Cause Analysis Clinical Unit in Ethics and Health Law Seminar In Profile: Ms Mary Bond
April 2010 Issue No. 40 From the Director Harvard Business Review - Is Medicine in for a radical change? Update is on.... Hand Hygiene Root Cause Analysis Review Clinical Unit in Ethics and Health Law Seminar HNE Health Quality Awards Submission Dates Welcomes and Farewells in Clinical Governance	May 2010 Issue No. 41 From the Director Guest Editorial: How Can We Improve Medication Safety? Update is on.... Wrong Blood in Tube Root Cause Analysis Review Clinical Unit in Ethics and Health Seminar Safety Alert Bulletin	June 2010 Issue No. 42 From the Director Between the Flags Initiative Welcomed in Paediatrics 2010 Quality Exposition and Scientific Program Update Root Cause Analysis Review Clinical Unit in Ethics and Health Law Seminar Royal Newcastle Hospital Heritage Trust Lecture Sounding Board
January 2010 Issue No. 37 From the Director Between the Flags in HNE Health Root Cause Analysis Review Clinical Unit in Ethics and Health Law Welcome to all new staff Clinical Governance Christmas Quiz results	February 2010 Issue No. 38 From the Director Guest Editorial: New Nursing Graduates Root Cause Analysis review Clinical Unit in Ethics and Health Law Update is on.... Quality Matters WHO Checklist	March 2010 Issue No. 39 From the Director Surgical Prophylaxis of Venous Thromboembolism (VTE) in Adults Update is on.... Falls Injury Prevention Root Cause Analysis review Clinical Unit in Ethics and Health Law Sounding Board - Journal Article Reviews
2009
October 2009 Issue No. 34 From the Director Guest Editorial: 7^th Australasian Conference on Safety and Quality in Health Care - Nanette Jemmeson In Profile: Vicki Martens, Project Manager, Transfusion Medicine Improvement Program Root Cause Analysis Clinical Unit in Ethics and Health Law Quality Awards has flowed into the NSW Health Awards Clinical Governance Grand Rounds	November 2009 Issue No. 35 From the Director CHASM & Digital Medical Record Access NSW Health Awards Blood Transfusion Intranet Site In Profile: Juliana Ford, ISBAR Project Root Cause Analysis Clinical Unit in Ethics and Health Law in 2010 Policies and Guidelines on the Intranet Farewell to Sue Williams	December 2009 Issue No. 36 From the Director Guest Editorial: A New View of Reporting in the IIMS In Profile: David Scotman, Executive Support Service Root Cause Analysis Review Clinical Governance Christmas Quiz Safety Alert Bulletins
July 2009 Issue No.31 From the Director Quality Award Finalists In Profile: Chris Smith, Patient Safety Officer Root Cause Analysis Clinical Unit in Ethics and Health Law Quality System Assessment Program	August Issue No. 32 From the Director Guest Editorial: Professor Kichu Nair Root Cause Analysis Review CUEHL Seminar In Profile: Heather Goldman, Executive Support Officer AAQHC Conference ACHS Corporate Accreditation Farewell Felicity Wardle	September 2009 Issue No. 33 From the Director Guest Editorial: What can the Human Factors Concept of 'Resilience' offer Healthcare? - Dr Shelly Jeffcott Performance Reporting In Profile: Laura Juratowitch, Quality Analyst Root Cause Analysis Farewell to Tonia Easton Recording of Open Disclosure Junior Doctors on RCA Teams Clinical Governance quarterly reports Safety Alert Bulletins
April 2009 Issue No. 28 From the Director 2009 HNE Health Quality Awards ACHS Corporate Office Periodic Review Clinical Unit in Ethics and Health Law Seminar Venous Thromboembolism Risk Assessment Tool Pilot In Profie: Susan Diemar, Policy Officer RCA Review	May 2009 Issue No. 29 From the Director Simulation Based Training In Profile: Mary Byrne, Patient Safety Officer Safety Alerts and Notices New Point of Care Information Resource CUEHL Sponsored HARC seminar 2009 Quality Exposition and Scientific Program Pressure Ulcer Policy Update	June 2009 Issue No.30 From the Director Public Confidence in Health Systems and Quality of Care Updated Rights and Responsibilities Brochure Draft HNE Health Legislative Compliance Policy In Profile: Louise Shore, Executive Support Officer Root Cause Analysis Review HNE Health Quality Exposition and Scientific Program Safety Alerts
January 2009 Issue No. 25 From the Director Correct Site Surgery Essentials of Care: Putting patients at the centre New Interventional Procedures to HNEH Root Cause Analysis In Profile: Jay Nielson, Patient Safety Officer CUEHL Seminar Clinical Governance Christmas Quiz Results	Februry 2009 Issue No. 26 From the Director Clinical Governance Website The Maitland Hospital Review Clincial Ethics Grand Rounds Centre for Clinical Ethics and Health Law Seminar Safety Alerts and Notices Root Cause Analysis NSW Health Patient Survey In Profile: Anne Barry, Clinical Audit Manager Seminars and Workshops	March 2009 Issue No. 27 From the Director Hand Hygiene: Your 5 Moments In Profile: David Coombes, Patient Safety Officer RCA Review Documentation in Medical Records Christmas Quiz Winners Next Clinical Ethics Seminar
2008
October 2008	November 2008	December 2008
July 2008	August 2008	September 2008
April 2008	May 2008	June 2008
January 2008	February 2008	March 2008
2007
October 2007	November 2007	December 2007
July 2007	August 2007	September 2007
April 2007	May 2007	June 2007
January 2007	February 2007	March 2007

Research and Publications

Quality Matters - The Newsletter of HNE Health Clinical Governance

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