Reports
72 Reports
An
RCA team will, at the completion of its investigation of an adverse incident, prepare 2 reports—
one report that contains—
a description of the adverse incident, based on facts that, in the opinion of the RCA team, are known independently of its investigation; and
the recommendations of the RCA team as to the need for changes or improvements in relation to a procedure or practice associated with the incident; and
a second report that contains 1 or more of the following elements, as the RCA team thinks fit:
a description of the adverse incident;
a
flow diagram;
a
cause and effect diagram;
a
causation statement;
the recommendations of the RCA team;
the working documents associated with the RCA team's investigation and processes (incorporated as attachments);
any other material considered relevant by the RCA team.
The report under subsection (1)(a) may be released publicly.
The report under subsection (1)(b) may only be released by the RCA team to—
a person who provides expert, technical, administrative or secretarial assistance to a member of the RCA team, or to the RCA team;
a person who is a member of an authorised quality improvement body;
in the case of that part of the report that constitutes the causation statement—a designated authority;
a prescribed person, or a person of a prescribed class, who is entitled to receive the report, or a prescribed part of the report, in accordance with the regulations.
This provision refers to the regulations (prescribed person
, prescribed class
, the regulations
). Made under this Act:
This Act’s bill:Second reading speech
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