Sentinel events
Health services must report the most serious cases of patient harm and death caused by adverse patient safety events, and make sure they’re properly reviewed. SCV also follows up with health services to check they’ve acted to help prevent further harm.
Shared decision making community of practice
Are you interested in shared decision making in healthcare?
Has your health service identified the shared decision making domain from the Partnering in healthcare framework as a priority?
Involve consumers in incident reviews
Involving consumer representatives when reviewing adverse events can challenge assumptions and highlight areas for improvement.
Consumer representatives are not directly affected by the event being reviewed, but they can help to provide the perspective of the patient, their family, or carer.
Our guides helps you:
- select and appoint a consumer representative
- clarify their role and remuneration
- support them through the process.
Help review a serious incident
When patients are unexpectedly harmed or die in the course of their healthcare, a team of staff come together to find out what happened, why, and how to prevent it from happening again.
An important piece of this puzzle is to understand the consumer perspective, or that of their family or carer. You can be part of this by becoming a consumer representative on a review panel.
Our guide will help you understand:
Frailty recognition and response in the community
COMPLETE
Summary
It is estimated that more than a quarter of older adults are frail, making them more likely to have poor health outcomes. With an ageing population, itimely recognition of frailty followed by an evidence-based intervention can improve health outcomes.
We partnered with five health services to introduce an approach to frailty screening and management - recognising and providing timely intervention to patients presenting with frailty and pre-frailty.
Decreasing infections associated with peripheral intravenous cannulas
COMPLETE
Summary
Peripheral intravascular catheters (PIVCs) are one of the most common medical devices used in Victoria, yet there is widespread variation in practice regarding the management of these.
It has been estimated that 70 per cent of hospitalised people will have at least one PIVC inserted during their stay, and up to 69 per cent of these PIVCs are associated with some kind of complication.
Objectives
The aims of the project were to:
Notify and review a sentinel event
There are mandatory timelines around sentinel events reporting, reviews and recommendations.
What to report
In Victoria, sentinel events fall under 11 categories – 10 of which are standard across the country.
Establishing the Victorian ECMO service
Complete
Summary
Extracorporeal membrane oxygenation (ECMO) gives temporary life-support for critically ill patients with reversible acute respiratory and cardiac failure, and patients requiring a ‘bridge’ to transplantation.
It is a high-risk procedure that requires highly skilled and experienced clinicians. It is not a common procedure but can be lifesaving.
This project: