|Title:||Annual (2009) Fourth Edition of From Death We Learn|
|Document ID:||Information Circular IC 0071/10|
|Date of issue:||Friday, 19 February 2010|
|Status:||NO LONGER APPLICABLE|
|Description:||Annual editions of From Death We Learn highlight key lessons learned from investigations and or a review of deaths including coronial investigations and inquests. The production is used to raise awareness of these issues, and as a means to educate health professionals about the lessons learned from unexpected or preventable deaths.|
|Period of effect:||from 1 December 2009|
|Authorised by:||Dr Robyn Lawrence, Executive Director, Innovation and Health System Reform, 12-Jan-2010|
|Print version:||View print version|
Annual (2009) Fourth Edition of From Death We Learn
The purpose of this Information Circular is to promote and circulate information about the 2009 edition of From Death We Learn. The 2009 edition was written and prepared by the Coronial Liaison Unit (CLU) in the Office of Safety and Quality in Healthcare.
The health system endeavours to minimise the occurrence of adverse events and to optimise patient safety. Investigations of unexpected or preventable deaths that have progressed to coronial investigation provide valuable insight into the way the health system works. Results of coronial inquests are shared amongst health professionals to raise awareness and as a means to educate health professionals about the lessons learned from unexpected and preventable deaths.
Each year, the CLU produces a series of vignettes in the form of a single booklet that highlight unusual and/or significant outcomes from coronial inquiries and other investigations following death. Production of From Death We Learn is a means of disseminating this important information to health professionals, health services and the general community.
For the first time in 2009, the document provides links identifying power point presentation that may be downloaded and used to facilitate learning for a junior doctor, interns and other health professionals.
The production serves to assure all stakeholders, especially the public, that unexplained and/or unexpected deaths are given serious consideration by the Department of Health, and that the recommendations arising from inquests are implemented as a means to prevent similar occurrences.
The publication is distributed to a wide range of health and allied health professionals across the state.
Dr Robyn Lawrence
This circular last updated: Friday, 19 February 2010 at 9:49am