Children in the Emergency Department (ED) deteriorate unexpectedly. Paediatric sentinel events and coroners’ cases have recurring themes related to parent/carers' inability to effectively escalate their concerns about their child's deterioration whilst in the ED.
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Ensuring early intervention and preventative care programs focus on improving outcomes for priority maternal and child populations is a key recommendation in the latest maternity and childhood data report.
... Read more...- Incident response/review
- Maternity and newborn
- Paediatric
Adverse patient safety events are rarely isolated to one health service and much can be learned by sharing review findings.
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Going beyond blaming human error, health services are encouraged to dive deep into the contributing factors behind the most serious cases of patient harm in Victoria.
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With the support of Adult Retrieval Victoria, Ambulance Victoria, the Paediatric Clinical Network, Safer Care Victoria is introducing the Paediatric Critical Health Resource Information System (Paediatric CHRIS) on 16 March 2022 across Victoria.
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Patients who are seriously harmed in hospitals will receive a genuine apology, understand what happened and why, and be part of future improvements – thanks to legislative amendments passed by Parliament yesterday.
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Children and adolescents with a post-COVID-19 systemic hyperinflammatory syndrome have been reported in Victoria and NSW in association with the current Delta variant.
... Read more...- Clinical/acute care
- Incident response/review
A new Sentinel Events Portal will make it much easier for Vict
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This medication safety alert has been issued to provide information on potential safety issues.
Health services and clinicians should undertake a risk assessment to determine the impact and relevance of this information and the response required.
... Read more...- Incident response/review
- Incident response/review