Safety and Quality > Our Work > Safety in e-Health > My Health Record clinical safety program

The My Health Record clinical safety program aims to improve quality, safety and efficiency in the Australian healthcare system through the My Health Record system. Consumers can control the content of, and access to, their healthcare record, and share health information with their clinicians.

The Australian Digital Health Agency (the Agency) was established on 1 July 2016 and is the My Health Record System Operator.

The Agency appointed the Commission to undertake a clinical safety program for the My Health Record system and national digital health infrastructure for 2016–2018. This includes:

  • Conducting clinical safety reviews on the My Health Record system and national digital health infrastructure
  • Operating a 24/7 My Health Record system Clinical Incident Management Unit from May 2016 to June 2017
  • Providing clinical safety expertise to the Agency
  • Analysing clinical incidents as requested by the Agency
  • Working with the Agency to drive safe and effective use of national digital health infrastructure into the future.

Between 2012 and 2017, the Commission completed 12 My Health Record clinical safety reviews some of which are available below.

First PCEHR (My Health Record system) Clinical Safety Review 

A review of the PCEHR clinical incident management process, and an update on progress made on previous recommendations from a review of the National eHealth Transition Authority’s (NEHTA) clinical safety management.

Second PCEHR (My Health Record system) Clinical Safety Review 

An examination of the PCEHR clinical incident management and investigation processes, and progress made against the recommendations from the First PCEHR clinical safety review.

Third PCEHR (My Health Record system) Clinical Safety Review

A review of de-identified PCEHR records; the use of the National Prescription and Dispense Repository; and incident review and reporting.

Fourth PCEHR (My Health Record system) Clinical Safety Review

A review of electronic discharge summaries and a review of the status of recommendations from the previous three clinical safety reviews.

Fifth Clinical Safety Review of the My Health Record system

A review of the use of Shared Health Summaries, Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, and the application of clinical safety design principles to Release 5.

Sixth Clinical Safety Review of the My Health Record System

Review of the My Health Record system identity management processes, focusing on Individual Health Identifiers and an end-to-end review of Event Summaries.

Seventh (7.1 ED workflows) Clinical Safety Review of the My Health Record System

A review of the impact and safety of the use of the My Health Record system in emergency departments

Seventh (7.2 Medicines view) Clinical Safety Review of the My Health Record System

A review of the presentation to healthcare providers of the My Health Record system ‘medications views’

Seventh (7.3 Downtime) Clinical Safety Review of the My Health Record System

A review of the My Health Record system downtime management best practices for clinical safety in health IT systems