Public Board of Directors papers 260123

Agenda item 02/23a

Meeting of the Board of Directors Thursday 26 th January 2023 Quality Assurance Committee report – November 2022

1 Introduction The Quality Assurance Committee took place on 17 th November 2022. The following summary gives the Board information on the items that were considered, and any actions required by the Board. 2 Quality Assurance Committee agenda items The items listed below were all presented to the Quality Assurance Committee for assurance in November: Agenda item BAF reference Assurance rating given Associated action (where applicable) and/or comments to note Infection

Concise update provided on the changes since the last version of the IPC BAF provided to the Committee. No actions from Committee review. Key points noted: • 94% of incidents were reported within 48 hours of knowledge of the incident. • Targets met in terms of patient falls and pressure ulcers. • incidents reported to StEIS in quarter. Actions: • Analysis to be provided on reasoning for increase in incidents over the last 18 months and whether the increase is proportionate to the increase in activity. • Lost to follow up update to come back to the Committee at a future meeting. Key points noted: • Needle sticks accidents and falls remain the highest in terms of staff accidents. • No HSA reported accidents in the last quarter. • Addressing low compliance for moving and handling training. • Supplier for the provision of waste management – going out to market. No actions from Committee review.

prevention & control board assurance framework (IPC BAF) Patient Safety and Experience Quarterly Report (July – Sept 2022)

1.1

High

1.2 & 1.3

High

Health and Safety Quarterly Reports

7.3

High

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