Safety and Quality

National Safety Quality and Healthcare Standards

What are the National Standards for Australian Hospitals?

The Commission developed the National Safety and Quality Health Service (NSQHS) Standards to improve the quality of health service provision in Australia. The Standards provide a nationally consistent statement of the level of care consumers should be able to expect from health service organisations.

There are 10 NSQHS Standards focusing on areas that are essential to drive the implementation and use of safety and quality systems

Reservoir Private Hospital Day Procedure Centre achieved full accreditation with 10 NSQHS Standards in 2017.


ISO 9000 – Quality management.

The ISO 9000 family addresses various aspects of quality management and contains some of ISO’s best known standards. The standards provide guidance and tools for companies and organizations who want to ensure that their products and services consistently meet customer’s requirements, and that quality is consistently improved.

There are many standards in the ISO 9000 family, including:

ISO 9001:2008 – sets out the requirements of a quality management system

Reservoir Private Hospital Day Procedure Centre also achieved accreditation with Global mark and ISO :9001:2008 in 2015.

Safety and Quality Data

Reservoir Private Hospital Day Procedure Centre has a comprehensive infection prevention and control program in place. Our facility and staff are regularly audited for compliance with national infection prevention and control guidelines, Australian Standards for reprocessing of reusable instruments and the Australian Commission of Safety and Quality in Healthcare [ACSQHC] National Safety and Quality Health Service Standards.

Hand Hygiene compliance rate for RPHDPC against national compliance rate

Healthcare workerCorrect HH ActionsTotal momentsRPHDPC ComplianceNational compliance data
Nursing 34 35 97% 83.6%
Medical 10 15 66.6% 70.9%

Annual Audit for Compliance with AS/NZS 4187:2003, Infection Prevention & Control and GENCA Guidelines

July 2017, Ms Terry McAuley, Sterilisation and Infection Prevention and Control Consultant, STEAM Consulting conducted the annual audit for compliance with AS/NZS4187:2003, infection prevention and control and GENCA Guidelines.

The results of this audit identified that RPHDPC achieves:

  • 94% compliance, 3.4% partial compliance and 2.6% noncompliance with the audit criteria based on AS/NZS 4187:2003, however it should be noted that many of these criteria are not applicable due to the limited scope of service delivery at this facility;
  • 98% compliance, 2% partial and no findings of non compliance with the infection prevention and control audit criteria; and
  • 100% compliance, with the perioperative and endoscopy practices audit criteria.

Fall rate is 0.12%

Pressure injury is 0.18%