Tools and resources for managing adverse events
Tools
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).
Involving impacted consumers – Adverse events
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.
Safewards Victoria trial and evaluation
About the trial
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.
Reporting to the council
Health services must report cases of maternal, perinatal and paediatric mortality and morbidity to the council for review.
Our learning health system
Building a learning health system
How to get involved
As a statewide initiative, the Safer Together Program is designed to offer something for every health service.
Active participation helps to build collective capability and drive system-wide improvement. We encourage services to identify and engage with the opportunities that best match their context, needs, and capacity.
What we offer health services
Through the program we offer a range of supports to help health services strengthen safety and quality of care across Victoria. This includes access to: