|Title:||Clinical Incident Management Policy|
|Document ID:||Operational Directive OD 0341/11|
|Date of issue:||Thursday, 1 September 2011|
|Status:||NO LONGER APPLICABLE|
|Description:||The Clinical Incident Management Policy is an integration of the clinical incident management processes within WA Health. This Policy supersedes the following policies:
|Applicable to:||WA Health staff.|
|Period of effect:||from 1 September 2011 to 1 September 2016|
|Review date:||1 September 2015|
|Authorised by:||Dr D Russell-Weisz, A/Director General, Department of Health WA, 11-Aug-2011|
|Print version:||View print version|
|To be read in conjunction with:||
Clinical Incident Management Policy
The Clinical Incident Management (CIM) Policy is an integration of clinical incident management processes within WA Health. This Policy supersedes the following policies:
The main objective of clinical incident management is to improve health care delivery through the reporting, investigation, analysis and monitoring of clinical incidents that occur as a result of health care provision. This integrated policy applies to all WA Government metropolitan and rural health services and their staff including contract staff and unpaid staff (e.g. volunteers). Access to this integrated policy can found at the following address: http://www.safetyandquality.health.wa.gov.au
Clinical incidents are now prioritised using the Severity Assessment Code (SAC) which is used to determine the appropriate level of analysis, action and escalation and are defined as follows:
Notification of SAC 1 incidents (which includes sentinel events) is mandatory and requires that hospital/health service executives, the Director Patient Safety Directorate (PSD) and the Office of the Chief Psychiatrist (for mental health patients/consumers) are notified when a SAC 1 incident occurs. Please note that the reporting of SAC 1 incidents will commence from the 3rd October 2011.
Please see the CIM policy for further details.
Clinical incidents that do not fall within the scope of this policy include:
For further information see Amendment to the WA Health Misconduct and Discipline Policy Operational Directive OD 0323/11.
Notification of clinical incidents includes:
Clinical incident investigation and analysis
Once a clinical incident has been notified, the incident should be investigated and analysed to identify the contributing factors. The goal of investigation and analysis is to improve health services through remedial action.
FURTHER INFORMATIONAll enquiries about the Clinical Incident Management Policy should be directed to the Patient Safety Directorate on (08) 9222 4080 or email: firstname.lastname@example.org
Dr D Russell-Weisz
This circular last updated: Thursday, 1 September 2011 at 11:39am