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Healthcare patients and their families/carers who have been impacted by serious adverse patient safety events (SAPSE) 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 partnership with health services and consumers, we have developed a set of resources that can be used during the review process.

Rachel's story 

Rachel’s Story is an example of how close engagement between a health service and an impacted consumer added significant value to the review process, produced meaningful improvements, and restored the relationship between the health service and the consumer.

Page last updated: 16 Dec 2022

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