|Title:||Clinical Incident Management Policy using the Advanced Incident Management System (2nd Edition)|
|Document ID:||Operational Directive OD 0003/06|
|Date of issue:||Tuesday, 7 November 2006|
|Status:||NO LONGER APPLICABLE|
|Description:||The Clinical Incident Management Policy using the Advanced Incident Management System (AIMS) has been revised to include recent strategic developments in health care. It also includes changes to the qualified privilege protection afforded to the AIMS system as well as incorporates information generated from an extensive evaluation of the Clinical Incident Reporting and Management Program carried out the Office of Safety and Quality.|
|Applicable to:||Doctors, Nurses, Health Service Administrators, Allied Health|
|Period of effect:||from 7 November 2006|
|Authorised by:||Dr Neale Fong, Director General, DEPARTMENT OF HEALTH, 07-Nov-2006|
|Print version:||View print version|
Clinical Incident Management Policy using the Advanced Incident Management System (2nd Edition)
The revised and updated Clinical Incident Management Policy using the Advanced Incident Management System (AIMS) and associated resource materials have been updated and re-issued and may be accessed on the Office of Safety and Quality in Health Care (OSQH) website at the following address: http://www.health.wa.gov.au/safetyandquality/programs/.
The revised policy applies to all WA Government metropolitan and rural health services and their staff including contract staff and unpaid staff (e.g. volunteers) in order to provide a consistent approach to the reporting, investigation, analysis and monitoring of clinical incidents to AIMS.
This policy document replaces the ‘Incident Reporting and Management Policy – Information Series No. 4’. The policy incorporates recent strategic developments in health care and recent changes to the qualified privilege protection afforded to the Advanced Incident Management System (AIMS).
AIMS is in place across all WA area health services and covers the reporting, investigation, analysis and monitoring of clinical incidents that occur as a result of the provision of health care. The main objective of AIMS is to improve health care delivery.
Where hospital and health service staff witness or detect a clinical incident they are encouraged to report it to AIMS using the clinical incident form. Patients, clients or visitors to hospitals and health services can also report incidents to AIMS.
Clinical incidents that fall within the scope of this policy
Clinical incidents that do not fall within the scope of this policy
Please note that OSH or workplace aggression incidents (where no physical altercation is involved) resulting in harm to patients should be reported to AIMS.
Notification of Clinical Incidents to AIMS
Clinical Incident Investigation and Analysis
Hospitals and health services may also wish to investigate and analyse ‘near miss’ incidents, particularly those that could have had a catastrophic outcome (eg. interrupted suicide or a potentially fatal dose of medication drawn up but not given). Near miss incidents may signal serious breakdowns in health systems and can serve as ‘free lessons’ that may result in recommendations to prevent further incidents occurring at a later time.
Prevention of Clinical Incident Recurrence
Appropriate groups within the hospital and health service, such as the Clinical Governance Committee or Unit, can then monitor remedial action. For further information on risk management please refer to the Clinical Risk Management Guidelines for the WA Health System, which is available at http://www.health.wa.gov.au/safetyandquality/publications/index.cfm.
Dr Neale Fong
This circular last updated: Tuesday, 7 November 2006 at 4:18pm