In 2021-22, we saw an increase in sentinel events related to patient deterioration, particularly in children and young people. In response, we proactively brought together more than 100 health care leaders, clinicians, patients, and families to consider how we might improve the safety and quality of care for children accessing emergency healthcare in Victoria.
This resulted in three key recommended actions:
In-depth case review tool
The in-depth case review (IDCR) tool assists health services to use a structured, systems-based approach to reviewing adverse patient safety events (APSE).
Healthcare patients and their families/carers who have been impacted by serious adverse patient safety events are entitled to play a role in internal review processes that seek to understand how their harm occurred.
By involving impacted consumers in adverse event reviews, a fuller understanding of contributing factors can be gained, which leads to more accurate and robust findings, and better system improvements.
We are pleased to provide an update on the Safer Care for Kids: ViCTOR pilot project, a Safer Care Victoria led improvement initiative dedicated to enhancing the safety and quality of paediatric care across Victoria.
Victoria's mothers, babies and children reports and presentations
These reports contains data on all maternal, perinatal and paediatric mortality and morbidity and additional data on birthing outcomes.
Health services must report cases of maternal, perinatal and paediatric mortality and morbidity to the council for review.