• Version 2 * National Standard 6 - Communicating for Safety Standard

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Standard 6 - Audit Report


Integrating clinical governance

  • 6.1 Clinicians use the safety and quality systems from the Clinical Governance Standard when:<br>a. Implementing policies and procedures to support effective clinical communication<br>b. Managing risks associated with clinical communication<br>c. Identifying training requirements for effective and coordinated clinical communication

Applying quality improvement systems

  • 6.2 The health service organisation applies the quality improvement system from the Clinical Governance Standard when:<br>a. Monitoring the effectiveness of clinical communication and associated processes<br>b. Implementing strategies to improve clinical communication and associated processes<br>c. Reporting on the effectiveness and outcomes of clinical communication processes

Partnering with consumers

  • 6.3 Clinicians use organisational processes from the Partnering with Consumers Standard to effectively communicate with patients, carers and families during high-risk situations to:<br>a. Actively involve patients in their own care<br>b. Meet the patient’s information needs<br>c. Share decision-making

Organisational processes to support effective communication

  • 6.4 The health service organisation has clinical communications processes to support effective communication when:<br>a. Identification and procedure matching should occur<br>b. All or part of a patient’s care is transferred within the organisation, between multidisciplinary teams, between clinicians or between organisations; and on discharge<br>c. Critical information about a patient’s care, including information on risks, emerges or changes


Correct identification and procedure matching

  • 6.5 The health service organisation:<br>a. Defines approved identifiers for patients according to best-practice guidelines<br>b. Requires at least three approved identifiers on registration and admission; when care, medication, therapy and other services are provided; and when clinical handover, transfer or discharge documentation is generated

  • 6.6 The health service organisation specifies the:<br>a. Processes to correctly match patients to their care<br>b. Information that should be documented about the process of correctly matching patients to their intended care


Clinical handover

  • 6.7 The health service organisation, in collaboration with clinicians, defines the:<br>a. Minimum information content to be communicated at clinical handover, based on best-practice guidelines<br>b. Risks relevant to the service context and the particular needs of patients, carers and families<br>c. Clinicians who are involved in the clinical handover

  • 6.8 Clinicians use structured clinical handover processes that include:<br>a. Preparing and scheduling clinical handover<br>b. Having the relevant information at clinical handover<br>c. Organising relevant clinicians and others to participate in clinical handover<br>d. Being aware of the patient’s goals and preferences<br>e. Supporting patients, carers and families to be involved in clinical handover, in accordance with the wishes of the patient<br>f. Ensuring that clinical handover results in the transfer of responsibility and accountability for care


Communicating critical information

  • 6.9 Clinicians and multidisciplinary teams use clinical communication processes to effectively communicate critical information, alerts and risks, in a timely way, when they emerge or change to:<br>a. Clinicians who can make decisions about care<br>b. Patients, carers and families, in accordance with the wishes of the patient

  • 6.10 The health service organisation ensures that there are communication processes for patients, carers and families to directly communicate critical information and risks about care to clinicians


Documentation of information

  • 6.11 The health service organisation has processes to contemporaneously document information in the healthcare record, including:<br>a. Critical information, alerts and risks<br>b. Reassessment processes and outcomes<br>c. Changes to the care plan

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