Quality & Safety

Waratah Private Hospital is committed to continuous quality improvement to ensure the safe and effective delivery of care and services to our patients.

Quality Policy

The Board and staff of Waratah Private Hospital are committed to:

  • Providing the best quality patient centred care to our patients.
  • Providing a timely, safe, effective and sustainable healthcare service to our community that encompasses their cultural diversity, physical, mental and social needs as part of our normal daily processes.
  • Engaging with our patients and carers to influence the way our care and service is delivered.
  • Providing the best available service to our Doctors.
  • Integrating the hospitals Vision, Mission, Values and Guiding Principles into everything we do.
  • Maintaining the Quality Management System as a driver for change, innovation, improvements and to provide a sound basis for sustainable Quality initiatives.
  • Ensuring staff are aware of the requirements of the Quality Management System and the importance of conforming to these requirements including the quality objectives.
  • Promoting staff involvement in the Quality Management System.
  • Continual improvement of the Quality Management System to achieve improved results, patient outcomes and enhance our patients’ experiences.
  • Striving for continuous learning and improvement in everything we do to improve the safety and quality of the services we provide for our consumers.

Quality and Safety Indicators

We assess our level of performance for a range of patient quality and safety indicators in relation to established national and industry standards.

Healthcare Associated Infections

Waratah Private Hospital aims to minimise the risk of infection to our patients, staff and visitors. Healthcare associated infections are infections that occur as a result of healthcare interventions and are caused by micro-organisms such as bacteria and viruses. The risk of getting infections depends on how healthy you are, how long you have been in hospital, and certain medications that you take (including some antibiotics). A lower rate is desirable.

Healthcare Associated Infection Rates January – June 2018 – Rehabilitation Patients
• Waratah Private Hospital = 0.18%
• Private Hospital Benchmarking Group = 0.25%

Hand Hygiene

When we are fit and healthy we can usually defend ourselves against many germs. Often our natural defenses are weakened when we are not well or after an operation.

It is important to perform hand hygiene as you enter and leave the hospital and also:

  • After going to the toilet
  • After blowing your nose
  • After smoking
  • After handling/patting animals
  • Before, during & after preparing food
  • When your hands are visibly dirty.

Waratah Private Hospital regularly assesses how often staff wash/clean their hands in accordance with Hand Hygiene Australia’s ‘5 moments’. These 5 moments of hand hygiene have been identified as the critical times when hand hygiene should be performed by staff. The graph below shows hand hygiene compliance for Waratah Private Hospital compared to the Australian National Benchmark. A higher rate is desirable.

Falls Prevention

The risk of falling can greatly increase when admitted to hospital. While some falls cause no injuries, others can cause serious harm. Falls can also result in people fearing further falls and make it harder for people to stay independent.

Preventing falls is a priority for us, so we assess all of our patients on admission and throughout their stay to identify those patients who are at risk of falling. We then provide these patients with a range of falls prevention strategies whilst in hospital.

The graph shows the number of falls (presented as a percentage of patient days) at Waratah Private Hospital for January – June 2018 compared with other Australian Hospitals (of similar size). At Waratah Private Hospital, we document and investigate every fall and take action to reduce the number of falls that occur. A lower rate is desirable.

Pressure Injuries

A pressure injury is a wound or reddened area of skin caused by prolonged pressure on the skin. To prevent a pressure injury whilst in hospital it is important to regularly change position in bed and walk or move around as much as possible.

The graph shows the incidences of pressure injuries (presented as a percentage of patient days) at Waratah Private Hospital for January – June 2018 compared with other Australian Hospitals (of similar size). A lower rate is desirable.

Unplanned Re-Admission to Hospital Within 28 Days

Waratah Private Hospital collects and reviews statistics on patients who have an unplanned re-admission to hospital within 28 days of discharge. We review all cases as this enables us to monitor how effective our discharge planning processes are.

The graph shows the number of patients who were re-admitted to Waratah Private Hospital within 28 days of discharge in January to June 2018 compared with other Australian Hospitals (of similar size). A lower rate is desirable.

Unplanned Return to Operating Room During the Same Admission

Waratah Private Hospital performs many surgical operations each year. Occasionally patients return to the theatre to treat problems that may unexpectedly occur after surgery eg. bleeding. Waratah Private Hospital reviews all cases to ensure we provide our patients with the best possible care.

The diagram shows the rate of unplanned returns to operating room during the same admission (presented as a percentage of patient days) at Waratah Private Hospital for January to June 2018 compared with other Australian Hospitals. A lower rate is desirable.

Patient Feedback

Our staff are dedicated to providing patients with the best possible care through all stages of their experience at Waratah Private Hospital.

We welcome feedback from our patients, families and carers as their opinions and observations are important to us. Patient feedback allows us to continually improve on all aspects of the care and services that we provide.

Inpatient Satisfaction Survey Results – January to June 2018

99% of our patients would recommend Waratah Private Hospital to family and friends.


“Clean, personable with kind and caring staff.”

“Impressed with facilities, room, informative and nice nurses. Admission and discharge was done quickly and all questions were answered.”

“Accommodation – excellent; Physiotherapy staff – very experienced and friendly; Nursing – very professional and attentive.”

“The staff are friendly and knowledgeable. Always there to help and extremely patient. Very clean hospital with great food”.

“A big thank you to all the lovely, dedicated and caring staff who made my stay here at Waratah so unforgettable”.

“Very helpful, caring and clean. Everything is good. It felt like a hotel. Love this hospital – it is the best”.

“The hospital was new, clean and modern. Staff were excellent. All of them were friendly and helpful. From nurses to the ones who delivered the meals. Great staff. I can’t say enough about them all! Caring and professional, friendly and helpful”.

“The gym and the physiotherapists are a great asset. All the ward staff are extremely polite. I felt very comfortable here”.

“I felt very safe and taken care of”.

“Service by doctors, nurses, meal prep staff, cleaners – all wonderful. For someone who is ‘hospital phobic’ this has been almost positive experience. Everyone has been helpful, positive and obliging”.

“Waratah is a patient focused hospital that felt like a hotel.”

“The friendliness of the wonderful team of nurses. They are genuine, caring, friendly and always smiling”.