Miranda Day Surgery


Phone: +61 2 9525 8669

Safety & Quality

It is our mission at Miranda Day Surgery (MDS) to provide high quality patient care. Reporting safety and quality data allows us to continually monitor our care delivery.

  2014 2015 2016
Certification (ISO 9001:2008 & NSQHS) YES YES YES
Infection Rate 0 0 0
Hand Hygiene Compliance 100% 100% 100%
Patient Falls 0% 0% 0%
Unplanned Return to Theatre 0% 0% 0%
Unplanned Transfer to another hospital 0% 0% 0%
Medication Safety Errors 0 0 0
Patients Developing Pressure Injuries 0 0 0
Patient Satisfaction 100% 99% 99%

Below is a description of how we address each of these areas of quality


MDS uses an organization wide total quality management system through the International Standard ISO 9001-2008.

MDS is also fully accredited against the National Safety and Quality Health Service (NSQHS) Standards. Accreditation against both quality systems is assessed and granted by Global-Mark.

Infection Rate

MDS implements systems to prevent and manage healthcare associated infection (HAI).

It is the belief of Miranda Day Surgery that through education of staff and patients, and monitoring of processes and systems as well as surveillance of any infection occurring as a result of care provided by the facility, the risk of transmission of HAI will be minimised.

To date these processes and systems have ensured that there have been no instances of HAI.

Hand Hygiene

Hand hygiene is the single most important action in preventing the spread of infection in a health care setting.

All staff at Miranda Day Surgery carry out the 5 moments in hand hygiene at all required times.

Patients and visitors will also be encouraged to carry out appropriate hand hygiene through the use of alcohol based rubs located throughout our facility.

MDS participates in regular hand hygiene audits and results of these audits are relayed to the relevant internal committees.

Patient Falls

MDS implements systems to prevent patient falls and to minimise the harm from falls. Systems are in place to prevent patient falls including patient screening and assessment.

Medication Safety Errors

MDS has medication administration policies and processes in place.

Medication errors are taken very seriously and staff are encouraged to report any incident regardless of how minor it might be.

While there have been no incidents to date, these processes are in place to ensure that any future incident would be reported and investigated through our Medical Advisory Committee.

Unplanned return to theatre

MDS monitors any unplanned theatre return. This data is used to determine if any action is required.

Unplanned Transfer to Hospital

MDS monitors and reports on any unplanned transfer to hospital.

No planned admission is expected to result in a transfer of a patient to an overnight facility therefore we monitor this to identify reasons why this occurred.

Patients Developing Pressure Injuries

While patients are only at MDS for a maximum of 4 hours, we use risk assessment tools to manage patients who may be at risk of pressure injuries.

Staff take every action to reduce the likelihood of a pressure injury occurring whilst in our facility.

Patient Satisfaction

MDS believes in a patient centred care philosophy. All staff believe that care delivery should be respectful of and responsive to, the values, needs and preferences’ of its patients and their carers.

We encourage feedback from patients and their carers through our patient satisfaction surveys and post operative phone calls and on the day of surgery through our staff.

Information obtained is used to improve our care delivery.