Quality & Safety

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


Quality & 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.

Unplanned re-admission to hospital within 28 days

Shellharbour 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.

SHP_Unplanned Readmissions

The graph shows that there were no patients re-admitted to Shellharbour Private Hospital within 28 days of discharge for the first 6 months of 2016. NB: A lower rate is preferred.

Hand hygiene

Hand hygiene is a general term referring to the use of soap & water or a waterless hand rub to cleanse your hands.

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.

Shellharbour 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.

Shellharbour Private Hospital Hand Hygiene Compliance Rates June 2016:

SHP_Hand Hygiene

For more information about hand hygiene please refer to the brochures available in the hospital or via the link below:


Healthcare associated infections

Shellharbour 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). 

We strongly recommend that family or friends who are unwell avoid visiting patients while they are in hospital.

Staphylococcus Aureus Bacteraemia Infection Rates January – June 2016

NB: A lower rate is better

       Shellharbour Private Hospital = 0.00%

       Industry Standard = 2.0 cases per 10, 000 patient days.

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.

There are usually a number of reasons for someone falling. These may include:

          weakened state

          being unwell

          poor balance


          unfamiliar environments and obstacles

          poor eyesight

          unsafe footwear

          some medicines

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 and when they go home.

SHP_Falls Prevention

The graph shows the number of falls (presented as a percentage of patient days) at Shellharbour Private Hospital for the first 6 months of 2016.  At Shellharbour Private Hospital we document and investigate every fall and take action to reduce the number of falls that occur.

For more information about falls prevention please refer to the brochures available in the hospital or via the links below:



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.

SHP_Pressure Injuries

The incidences of pressure injuries at Shellharbour Private Hospital is below the industry benchmark (a lower rate is preferred).  We assess all of our patients on admission and throughout their stay to identify those patients who are at risk of getting a pressure injury.  We then provide these patients with a range of pressure injury prevention and management strategies whilst in hospital and when they go home.

For more information about pressure injuries please refer to the brochure available in the hospital or via the link below:


Unplanned Return to Operating Room During The Same Admission

Shellharbour 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. 

Shellharbour Private Hospital reviews all cases to ensure we provide our patients with the best possible care.

SHP_Unplanned Operating

The graph shows patients who had an operation at Shellharbour Private Hospital (presented as a % of patient days) that required a return to theatre during the same admission for the first 6 months of 2016.  A lower rate is preferred.

Patient feedback

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


SHP_Inpatient Satisfaction

98% of patients were satisfied with all aspects of their hospital stay at Shellharbour Private Hospital.


  • Congratulations to all staff for my stay, all aspects of staff are to be commended on the ongoing attention I was given.
  • All the staff were very helpful compassionate and kind. It was lovely to see how the staff respect each other and work as a team. Compliments to the cook for the great roast dinners.
  • The treatment I received prior and after procedure was excellent. Keep up the great work. Big thank you to all staff from reception to day surgery staff.
  • The food here is excellent. The chef here is fantastic. 10/10.
  • Every aspect of my stay were wonderful, care, cleaning, pain management, physio, kitchen, very happy!
  • The nursing staff were very kind to me nothing was too much trouble. I was very comfortable and happy.
  • All the staff (nursing, cleaning, food and physio) were excellent. Everything that I ask for was greeted with a smile and delivered promptly.
  • I would not hesitate to recommend this hospital to anyone. The nurses and staff went out of their way to be accommodating.

On 13 April 2017, Healthe Care Australia (“Healthe Care”), Australia’s third largest corporate private hospital operator and pan-Asian health care services group acquired Evolution Healthcare’s three Illawarra hospitals: Shellharbour Private Hospital, South Coast Private Hospital and Wollongong Day Surgery.

Healthe Care currently has:

  • 35 private hospitals (34 in Australia and one in New Zealand)
  • Approaching 7,000 staff
  • Near 2,500 hospital beds

While this website is updated to reflect Healthe Care guidelines, please access information regarding the hospital and its services as usual. For further information about Healthe Care and its 35-strong hospital network, please visit healthecare.com.au