Skip to main content

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.

 

Access the portal

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.

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.

Better Births for Women Collaborative

complete

Summary

Women having their first birth vaginally in Victoria are four times more likely to experience a severe perineal laceration (third- or fourth-degree tear) compared to those having a subsequent birth vaginally (Victorian perinatal services performance indicators 2018–19 report).

This can have devastating long-term or lifelong impacts on physical and psychological wellbeing. Many of these tears are avoidable.

Subscribe to Our work