Mind the Gaps is a Healthcare Improvement Unit (HIU) sponsored project that was initiated by the Statewide General Medicine Clinical Network (SGMCN), and hosted by Metro South Hospital and Health Service (HHS).
The project assessed the extent to which general medicine services throughout Queensland Health public hospitals match standards outlined in the quality and safety position statement which was finalised by the SGMCN, identify problematic areas and the underlying barriers to optimal care, and develop and implement quality and safety improvement programs or business cases to redress identified problems.
The quality and safety position statement (see resources section) contains 45 evidence-based standards of care for general medicine services covering acute admission processes, inpatient care, pre-discharge care, outpatients, and communication and teamwork. This document was compiled using a rigorous methodology that incorporates the GRADE approach to rating strength of recommendations as strong or weak.
The position statement, comprising of evidence based standards, is an important innovation and could be applied nationally. It articulates practice standards that, if adhered to consistently across all general medicine services, would significantly improve patient outcomes.