128T

Serious adverse patient safety event review report

Current

(1)

A SAPSE review panel must prepare and produce a report for the health service entities which appointed it as soon as practicable after completing an investigation into a serious adverse patient safety event.

(2)

A report under subsection (1) must contain one or more of the following elements as considered appropriate by the SAPSE review panel—

(a)

a description of the serious adverse patient safety event;

(b)

analysis identifying why the event happened and any factors that contributed to the event;

(c)

any recommendations about changes or improvements in a policy, procedure or practice relating to the provision of a health service that are intended to reduce the likelihood of, or prevent, the same type of event happening again;

(d)

any prescribed matter or requirement.

(3)

A report under subsection (1) must not contain—

(a)

the name or address of the following—

(i)

a person involved in providing the relevant health service;

(ii)

a person who received the relevant health service;

(iii)

a member of the SAPSE review panel;