quality
quality, adverse events, reporting and standards
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- National Guideline Clearing House - initiative of the Agency for Healthcare Research and Quality, and the Department of Health and Human Services in the United States
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- ISR rating depends upon:
- degree of impact
- level of care
- treatment required
- ISR 1: the most severe incident, requires notification within 3 days to Govt Sentinel Event Program, and may require a RCA to be concluded and reported within 60 days
- ISR 2: less severe; requires in depth case review by 2 people and reported to hospital's Clinical Governance C'tee
- ISR 3: minimal actual harm
- ISR 4: near-miss
- ISR 3&4 investigations to be commenced within 2 business days and completed or closed within 7 days
- ISR 1&2 investigations to be reviewed ASAP and investigation completed within 30 days
- Statutory Duty of Candour (SDC) for ISR 1 and 2 events under The Health Legislation Amendment (Quality and Safety Act) 2022 (Vic) which commenced 30/11/2022:
- see more information and links to resources: https://www.safercare.vic.gov.au/support-training/adverse-event-review-and-response/duty-of-candour
do we measure and document too much?
Safer Care Victoria sentinel event annual reports
quality.txt · Last modified: 2022/12/02 03:12 by wh