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2010
Publication, report or update
2016
Publication, report or update
2016
Publication, report or update
2010
Publication, report or update

In 2008 and 2009, the Commission published Windows into Safety and Quality in Health Care which offers a broad review of safety and quality issues in a number of areas.

This report, Windows into Safety and Quality in Health Care 2010, builds upon these previous reports and offers insight into a range of healthcare safety and quality matters in a number of settings and from various perspectives. For the first time, we are including a perspective on services for Aboriginal and Torres Strait Islander peoples.

The Windows into Safety and Quality in Health Care 2010 report also highlights learning from the experiences of patients, recognising and responding to clinical deterioration, National Safety and Quality Health Service Standards and their future role, and examines improved reporting for safety.

Chapters in this report include:

  • Improving safety and quality by learning from the experience of patients
  • Addressing antibiotic resistance
  • Safe and high quality health care for Aboriginal and Torres Strait Islander peoples: A perspective from the Kanyini Vascular Collaboration
  • Recognising and responding to clinical deterioration
  • Changing practice through improving clinical handover
  • Accreditation, change and improved quality of patient care
  • Preventing falls in older people
  • Improving medication safety
  • Reporting for safety: Use of hospital data to monitor and improve patient safety
2020
Publication, report or update

Sentinel events are a subset of adverse patient safety events that are wholly preventable and result in serious harm to, or the death of, a patient. The purpose of sentinel event reporting is to ensure public accountability and transparency and drive national improvements in patient safety.

2020
Publication, report or update

This document aims to inform healthcare professionals and system funders or regulators about how the national sentinel events list has changed in the second edition, and the process that was undertaken to review and revise the list.

2020
Publication, report or update

This report presents the first national epidemiological snapshot of sepsis and its impact on Australians and was prepared by Centre for Health Systems and Safety Research,  Australian Institute of Health Innovation,  Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia .

2020
Publication, report or update

A literature review to better understand the use of antipsychotic medicines for people aged 65 years and over.

2020
Publication, report or update

A report reviewing the implementation of the Australian Open Disclosure Framework identifying perceived implementation gaps, areas for improvement, and suggested strategies at a national, state and territory, and health service organisation level.