Australia National Safety and Quality Health Service (NSQHS) Standards Second Edition 1.03-1.06: The organisation maintains a clinical governance framework that drives improvement, implements strategies for Aboriginal and Torres Strait Islander patients, weighs safety and quality in business decisions, and clinical leaders support clinicians to perform their safety and quality roles

Other controls in Standard 1: Clinical Governance – Australia National Safety and Quality Health Service (NSQHS) Standards Second Edition

1.01-1.02 The governing body leads a safety and quality culture, partners with consumers, sets priorities and the clinical governance framework, defines roles, monitors incident action and performance, and addresses the health needs of Aboriginal and Torres Strait Islander people
1.07-1.09 Policies, procedures and protocols are managed through a risk-based system with compliance monitoring, organisation-wide quality improvement systems measure and improve performance with consumers and workforce involved, and timely safety and quality reports reach the board, workforce, consumers and partner services
1.10 Organisational risks are identified, documented, assessed with clinical and other data, reduced, reviewed, reported to workforce and consumers, and emergency and disaster plans are in place
1.11-1.12 Organisation-wide incident management and investigation systems support reporting by workforce and patients, involve them in review, feed back analyses, drive improvement and the risk register, and open disclosure follows the Australian Open Disclosure Framework
1.13-1.14 Feedback from patients, carers, families and the workforce is sought regularly and used to improve, and an organisation-wide complaints management system encourages complaints, involves workforce and consumers in review, resolves them promptly, feeds back analyses and informs improvement and the risk register
1.15-1.18 The organisation knows the diversity and higher-risk groups among its consumers and plans care accordingly, keeps healthcare records available at the point of care, accurate, secure, auditable and integrated, and works towards and governs contributions to the My Health Record system
1.19-1.22 Everyone, including board members, locums, agency, students and volunteers, is oriented to their safety and quality roles; training systems assess competency and needs, deliver mandatory training and monitor participation; cultural safety and competency for Aboriginal and Torres Strait Islander patients is improved; and performance reviews identify development needs
1.23-1.26 Scope of clinical practice is defined, monitored and reviewed, clinicians are credentialed where relevant with the process monitored and improved, safety and quality roles are assigned and supported including for locums and agency staff, and clinicians are supervised with after-hours advice available

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MCP endpoint All Australia National Safety and Quality Health Service (NSQHS) Standards Second Edition controls