It is estimated that 140,000 cases of diagnostic errors occur each year in Australia, and that most are preventable. Medical mishaps range from diagnostic and surgical mistakes to administering the wrong medication or dose, and are blamed for up to 18,000 deaths and 50,000 permanent injuries. It is, therefore, crucial that healthcare workers can access current evidence-based guidelines to improve patient safety.
Hospitals can reduce the incidence of medical errors by empowering staff to know how to make evidence-based decisions and improving communication throughout the organisation. This is best achieved through standardised policies and procedures that enable nurses to provide consistent, patient-centric, quality care; make informed, evidence-based clinical decisions; and collaborate more effectively with colleagues.
There has been momentum toward standardising some processes for healthcare workers and organisations. National guidelines have been drawn up around infection prevention and control and medication management, a digital health record system has been created, and protocols should comply with National Safety and Quality Health Service Standards.
However, policies and procedures still vary across States and Territories, and from hospital to hospital.
What is the difference between a policy and a procedure?
Hospital policies and procedures guide day-to-day operations, standardise practices and streamline processes across the organisation, and communicate expectations to staff, ensuring that every patient receives the same level of care.
Establishing a clear delineation between policies and procedures will reduce confusion and create organisational alignment.
- A policy outlines organisational principles and expectations and sets boundaries for decision-making regarding practice.
- A procedure is a series of steps to be followed as a consistent and repetitive approach to accomplish a result.
In simple terms, you observe a policy, and you perform a procedure. A hospital’s clinical policy will change infrequently, while clinical procedures require regular revisions based on emerging evidence, updated clinical guidelines, and other industry standards.
Helping nurses deal with information overload
Often, however, it can be challenging to keep policies and procedures current and to ensure that staff refer to policies and procedures regularly as the source of truth for safe and effective patient care, particularly in organisations which still rely on printed documents.