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 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.
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.
A safer healthcare system for all Victorians.
Challenge the norm
Accept nothing less than excellence
We work with clinicians and consumers to help health services deliver better, safer healthcare.
We help health services:
We support health services to get better and to help keep Victorians safe.
For more information, see:
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:
Meikle PJ, Formosa MF, Wilson AM, et al. HDL Phospholipids, but Not Cholesterol Distinguish Acute Coronary Syndrome From Stable Coronary Artery Disease. J Am Heart Assoc. 2019; 2019 Jun 4;8(11):e011792. doi.org/10.1161/JAHA.118.011792