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When things go wrong

 
 

From the Health Quality and Safety Commission - Reporting adverse events

Under the National Adverse Events Reporting Policy 2017, health and disability service providers with obligations under the Health and Disability Services (Safety) Act 2001, and those who voluntarily comply, are expected to:
  1. report serious adverse events (severity assessment code (SAC) rating 1 and 2) and events on the Always Report and Review list to the Commission, using the adverse event brief – part A reporting form. This report should be made within 15 working days of notification of the event to the provider

  2. undertake formal review of serious adverse events (SAC 1 and 2) and events on the Always Report and Review list and send review findings and recommendations to the Commission, using the adverse event brief – part B reporting form. This report should be made within 70 working days of notification of the event to the provider.
Reporting forms need to be signed off by the organisational chief executive (or equivalent) or senior delegate on their behalf before sending to the Commission.
 
Consumers and their whānau who have been involved in the event should be offered the opportunity to share their story as part of the review process and review findings and recommendations should be shared with them. 
 

Diana Ayling