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Incident management is an important component
of the NSW Patient Safety and Clinical Quality
Program. A statewide incident management system
was introduced in 2004. This incident management
system is supported by a statewide electronic
incident system, the Incident
Information Management System (IIMS). IIMS
is implemented under a policy framework to guide
the notification, prioritisation, investigation,
analysis and action and feedback of health care
incidents using the Severity
Assessment Code (SAC).
All serious clinical (SAC 1) incidents are reported
to the NSW Department of Health via a Reportable
Incident Brief (RIB) process and are investigated
in detail using the Root Cause Analysis (RCA)
methodology.
Since 1 August 2005, legislation has required
all Clinical SAC 1 incidents to be investigated
using the RCA methodology.
Seven Steps to Incident Management
- Identification
- Notification in the Incident Information Management System (IIMS)
- Prioritisation using the SAC
Matrix
- Investigation
- Analysis and action
- Classification
- Feedback
The Easy
Guide to Incident Management provides guidance
on the seven steps. |
