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    Involved in an incident review?

    This information will help you understand what documents to collect and keep as part of the review, and answer some of the common questions we receive about how you create, distribute, store and retain review documents.

    Disclaimer: While it does not constitute legal advice, this information is useful for anyone involved in an incident review, including health service staff, consumers and external panel members. It is also helpful for health service executives, legal counsel, and quality, risk and safety leaders.

    Download the full fact sheet

    Creating review documents

    Managing hard copy documentation

    Hardcopy documents and correspondence should be marked ‘Confidential’.

    Hardcopy documents should be returned to the review leader at the end of the meeting, or when no longer required.

    Do not post or fax documentation as these methods are not considered secure.

    All documentation created during the incident identification, analysis and management process should be carefully retained and securely stored.

    Writing notes

    Throughout the course of the review, make sure your notes are based on observations and evidence. Be clear, objective, and non-emotive.

    All notes and documents should be system focused. Do not attribute blame to individuals.

    Use role or position titles, not the names of the staff involved in the incident under review.

    Managing electronic documents

    Mark all electronic documents with a ‘Confidential’ watermark.

    All documents should be password protected. Save your document as a PDF that can be password protected and encrypted. Generally, this action is undertaken by the review leader.

    Where possible send the password for password protected documents separately via text to the recipient’s mobile phone.

    Do not create, save and/or store electronic review documents on your personal computer or devices.

    Please be aware of your surroundings when viewing material on your computer screen (e.g. not in public places or in view of family members at home).

    Do not leave information unattended. Always lock your computer when leaving your desk.

    Sending emails

    Re-read emails before you send them, adding the ‘send address’ as a last step before sending.

    Use your work email address – not a personal email address – to send or receive emails about the review.

    Use a clear subject line, such as:

    • *** In confidence – for deliberative purposes only
    • *** In confidence – do not distribute
    • *** In confidence – do not print

    Be clear about the purpose of your email, for example:

    • This is for the purpose of a review in progress and confidential discussion.
    • Sent for the purposes of obtaining legal advice.

    It is good practice to securely save a copy of the email as back up.

    Sharing documents

    Be careful in how you distribute incident review documentation. Use secure or password protected systems if available.

    Sharing documents among the review team

    Note: the review team includes independent (external) panel members and consumer representatives.

    Email: Encrypt emails and electronic documents. Please ask your local IT service for support.

    Do not post or fax documentation as these methods are not considered secure.

    Hard copy: All documents should be returned to the lead reviewer at the end of the meeting, or when no longer required.

    USB or portable hard drive: We do not recommend you store documents on a portable storage device. If using one for meeting documentation, it should be encrypted, and password protected. (Refer to your local IT service if assistance is required with this.)

    We do not recommend using third party electronic storage such as Cloud or Dropbox for confidential material. If electronic storage is required, seek advice from your local IT service and legal counsel.

    Can I share documents with someone outside the review team?

    Please seek advice from your health service’s legal counsel or external lawyers if you receive a request to share review documents outside the review team.

    Attaching documents to your incident management reporting system

    Please seek advice from your legal counsel or external lawyers about attaching incident review documentation on the relevant incident management reporting system reporting page or quality improvement module.

    Storing documents

    Both hard copy and electronic documents should be stored securely. Do not store these documents in the patient’s clinical file.

    To ensure legislative compliance, we strongly recommend that you seek advice from your legal counsel.

    How long do I keep the review documentation for?

    Do not destroy notes, or any other review documents, made as part of the incident review without advice from your legal counsel.

    Local health information services can also provide guidance on document retention.

    What would I do in the event of a data breach or loss of confidential documents?

    Please refer to your health service’s policy/procedure around document management and escalation.

    Is it acceptable to record interviews?

    It is usually acceptable to record interviews with written consent. You should however, always seek advice from your legal counsel when you are considering recording an interview for the purpose of an incident review.

    Freedom of information requests

    Review documents may be subject to freedom of information (FOI) in the public sector or request of information (ROI) in the private sector. These requests will be assessed on a case-by-case basis by the FOI officer, privacy officer or legal counsel.

    While, in some cases it will be appropriate to release documents, there are times where some documents (or parts of documents) may be considered exempt and not appropriate for disclosure.

    Get in touch

    Sentinel event program
    Safer Care Victoria
    1300 543 916
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