Safety & Quality

It is our mission at LDS to ensure continuous improvement in the safety and quality of care delivery to our patients. Reporting safety and quality data allows us to continually monitor our care delivery.

Data for Safety and Quality



Hospital Performance
Patient Safety and Quality Indicators 2013 2014 2015 2016 2017 2018
Accreditation ISO-2008 ISO-2008 ISO-2008 ISO-2008 ISO-2015 ISO-2015
Infection Rate 0 0 0 0 0 0
Hand Hygenie 70% 82.5% 82.5% 84.5% 83.3% 83.3%
Patient Falls 0.02% 0% 0% 0.06% 0.03% 0.03%
Unplanned return to theatre 0.02% 0.41% 0% 0% 0% 0%
Unplanned transfer to another hospital 0.26% 0.14% 0% 0.18% 0.12% 0.03%
Medication Safety Errors 0% 0% 0% 0% 0.03% 0%
Patients Developing Pressure injuries whilst in hospital 0% 0% 0% 0% 0% 0%
Patient Satisfaction 88.1% 92.78% 92.60% 93.3% 91.2%


LDS uses an organization wide total quality management system through the International Standard ISO 9001-2008. Accreditation is granted by International Standards Certification.

Infection Rate

LDS implements systems to prevent and manage healthcare associated infection. It is the belief of Liverpool 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.

Hand Hygiene

Hand hygiene is the single most important procedure in preventing the spread of infection in the health care setting. All staff at Liverpool Day Surgery carries 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.

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

Patient Falls

LDS 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.

Unplanned return to theatre

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

Unplanned Transfer to Hospital

LDS 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.

Medication Safety Errors

LDS 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. All incidents are reported and investigated through our Medical Advisory Committee.

Patients Developing Pressure Injuries

LDS uses 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

LDS 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 ,website, post operative phone calls and the day of surgery through our staff.

Information obtained is used to improve our care delivery.