Safety and Quality Projects

St Andrew's Toowoomba Hospital is compliant with the national safety initiatives introduced by the Australian Commission on Safety and Quality in Healthcare (ACSQHC). St Andrew's utilises resources from the Commission and elsewhere that assist us with improving safety and quality of care provided to our patients.


Some of our Safety and Quality Projects include:


Falls Prevention

St Andrew's Toowoomba Hospital has a risk assessment program in place to ensure we identify patients at high risk of having a fall during their stay with us. This program includes the fitting of red socks to identify 'high risk' patients and flag that they should not be mobilising without assistance, red dot flag system on patient wall which demonstrates the degree of assistance a patient needs to mobilise, as well as hourly patient visits or 'rounding' in the Medical and Palliative Care ward to eliminate patients trying to get up without assistance.


Health Care Associated Infection Control

Antimicrobial Stewardship:

St Andrew's Toowoomba Hospital has an antimicrobial stewardship policy in place which is an ongoing effort to optimise antimicrobial use among hospital patients in order to improve patient outcomes, ensure cost effective therapy and reduce adverse outcomes from antimicrobial use increasing the risk of developing antimicrobial resistance.

High risk antibiotics are subject to approval guidelines. This is a process where antibiotics are colour coded according to the level of restriction of use at St Andrew's Toowoomba Hospital. Drugs are classified as red, orange or green, with each colour representing a certain level of restriction for use within the hospital. Approval to prescribe high risk or RED antimicrobials is provided by Pathologist after ensuring the antimicrobial agent is the only appropriate antimicrobial treatment option. Orange and green antimicrobials may only be prescribed in accordance with approved indications.

National Hand Hygiene Initiative

Clean hands are the best protection against infection. St Andrew's Toowoomba Hospital participates in the ACSQHC national hand hygiene initiative to improve hand washing among healthcare employees. We have a standardised hand hygiene practice across the hospital and complete regular education sessions and audits to promote a culture of good hand hygiene.

Flu Vaccination Program

St Andrew's has a commitment to our staff's health and wellbeing. We offer all employees the influenza vaccination annually to help protect our employees, patients and visitors against influenza.



Medication Safety

St Andrew's Toowoomba Hospital maintains a focus on medication safety in accordance with ACSQHC expectations. Continuous monitoring helps us to reduce errors and harm from medicines by ensuring our staff are committed to improving medication management practices.


St Andrew's Toowoomba Hospital has the National Inpatient Medication Chart (NIMC) developed by the ACSQHC in use. This chart was a major initiative to improve and standardise medication safety nationally. Safety measures in the chart include specific flags for Venous Thromboembolism (VTE) to reduce blood clots, as well as flags to identify a patient is on Warfarin. We utilise a short-stay and long-stay version of the chart to ensure all of our patients receive the safest care regardless of their length of time in hospital.


Nursing staff are educated continuously on the use of the 7 rights of medication administration to ensure they administer medications in a safe manner. These 7 rights include:

  • Right person: Check the patients identity against the prescription, medication package label and the ID bracelet
  • Right drug: Check the medication against the prescription, being aware of the generic name and the fact there may be multiple brand names. If in doubt, refer to the MIMS Manual available in your area.
  • Right Dose: Using the correct formula, calculate the correct amount of medication required
  • Right Time: Make sure the patient is receiving the medication at the specified time and also the time the medication was last given.
  • Right Route: Check the order. Ensure the medication is given via correct route.
  • Right documentation: Check that all documentation is correct
  • Right to refuse: The patient has the right to refuse drugs at any time.


Our onsite Pharmacy provider also has a process for completing medication risk assessment reviews on those patients who are identified as high risk on admission. This risk assessment helps to ensure that the patient is receiving appropriate medications in the correct dosage.


Patient Identification

St Andrew's Toowoomba Hospital complies with the ACSQHC National Safety and Quality Service Standard on patient identification. The processes in place help to ensure that we eliminate the risk of wrong person, wrong site procedures, medication errors and diagnostic testing errors.

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The hospital employs approximately 500 staff with over 270 credentialed Visiting Medical Officers providing services to 22,500 patients annually.


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Hospital Map

St Andrew's Toowoomba Hospital is a 137-bed, acute care private hospital situated on the north-western side of Toowoomba.

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Job Opportunities

St Andrew's Toowoomba Hospital values the contribution of all of our staff. We recognise that retention of staff is as important as recruitment!



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Hospital Accreditation

St Andrew’s Toowoomba Hospital is a teaching hospital for the University of Queensland (UQ) and is member of the Australian Private Hospital’s Association (APHA) and the Private Hospital’s Association of Queensland (PHAQ). The hospital is also accreditated with the Australian Council on Healthcare Standards (ACHS).