Incident Reports
The second Bi-Annual Report Incident Management in the NSW Public Health System 2007, July to December was released in July 2008. Provides an analysis of incidents and advice on strategies to improve health care services where mistakes are identified. In response to a NSW Parliamentary committee recommendation, the report is now issued on a six-monthly basis.
The first Bi-Annual Report Incident Management in the NSW Public Health System 2007, January to June was released in March 2008. Provides an analysis of incidents and advice on strategies to improve health care services where mistakes are identified. In response to a NSW Parliamentary committee recommendation, the report is now issued on a six-monthly basis.
The third report was released in December 2006. Notifications on incidents rose in 2005-2006. This increase is a clear indication that staff working in the NSW health system see the value of notifying incidents and are aware that the lessons learned will assist in developing targeted prevention strategies aimed at addressing system issues. It is expected that notifications will continue to rise until all prevention strategies are explored and implemented.
The second report was released in January 2006 and described 429 serious incidents (SAC 1) within NSW from July 2004 to June 2005. This compares to 452 incidents reported for 2003 / 2004. NSW Health will produce and release the 3rd incident report in January 2007.
In January 2005, the NSW Health Minister released
the first
report on incident management in public hospitals
demonstrating the commitment to a culture of
open disclosure in our public hospitals where incidents
can be reviewed and lessons are learned. During
this time, there were 1.5 million patient admissions
and more than 25 million outpatient services provided
in NSW public hospitals.
The report measured all Category 1 incidents
which covered events such as clinical management
problems, falls and wrong patient/site/procedure
incidents. The Patient Safety and Clinical Quality
Program, which includes the establishment of the
Clinical Excellence Commission and individual
clinical governance units in Area Health Services
will oversee the reporting of incidents and to
ensure that systems are improved where faults
are identified.
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