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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.
In Victoria, Safewards was trialled across 7 services (18 units) over one year.
Safewards was associated with reduced seclusion events overall and improvement was especially evident in adult and youth wards. Also, Safewards had a highly favourable impact in terms of staff and consumer perceptions of increased safety and more positive inpatient environments.
Health services must report cases of maternal, perinatal and paediatric mortality and morbidity to the council for review.