Healthcare consumer acquired COVID-19 adverse events
Where COVID-19 is acquired within a healthcare setting that results in serious harm or death of a patient, the incident should be reviewed internally using the Rapid adverse event review tool – COVID-19 related deaths occurring in health services.
If a health service identifies a cluster of events (more than one), it is recommended they contact the sentinel event program to discuss.
Falls review tool
Falls remain a serious threat to patients in the health system. In 2019-20, there were 25 sentinel events reported to Safer Care Victoria (SCV) that were directly attributed to falls. We’re committed to improving outcomes from falls adverse event reviews.
Statutory Duty of Candour and protections for SAPSE reviews
The Health Legislation Amendment (Quality and Safety) Act 2022 introduced new reforms and amended the Health Services Act 1988, the Ambulance Services Act 1986, the Mental Health Act 2014, the Public Health and Wellbeing Act 2008, and the Health Complaints Act 2016. The following provisions came into effect on 30 November 2022.
Our plans and performance
Strategic plan 2023-26
We detail our longer-term goals and priorities through our three-year strategic plan.
Annual plans
Every year, we plan our what we will do to help us progress our strategic goals.
Our vision and values
Our vision
A safer healthcare system for all Victorians.
Our values
Challenge the norm
- We do things differently, and we are proud of it
- We are curious and innovative, and have the courage to challenge what’s normal
- We are honest, open and speak up when things aren’t right
Accept nothing less than excellence
What we do
Overview
We work with clinicians and consumers to help health services deliver better, safer healthcare.
We help health services:
- prevent and learn from patient harm
- identify and deliver service improvements
- engage with consumers.
We support health services to get better and to help keep Victorians safe.
For more information, see:
Improving sexual safety within Victorian mental health inpatient units
About the initiative
The first of its type, this initiative supports participating services to trial a range of targeted changes aimed at improving sexual safety in inpatient units for consumers, their carers, families and supporters and workforce.
Improving sexual safety within mental health inpatient units includes reducing instances of:
- sexual assault
- sexual harassment
- other sexual incidents
The initiative aims to see participating services:
About the sentinel events portal
Launched in 2021, the sentinel events portal is a quick, easy and secure way for Victorian health services to report sentinel event information.
Replacing downloaded forms, the portal allows you to: