Managing incidents

Introduction and background

The Clinical Excellence Commission (CEC) Patient Safety Program is aligned with the NSW Patient Safety and Clinical Quality Program, which seeks to deliver a standardised, system-wide approach to ongoing improvements in the safety and quality of health care provided across the NSW health system.  A key component is analysis of statewide clinical incident data within the Incident Information Management System.

An important part of the patient safety program is to inform and work with NSW Health, Local Health Districts and clinical groups to address the patient safety issues identified during review of aggregated data.

The Patient Safety Team utilises the electronic Incident Information Management System (IIMS) to identify risks to patient safety, as reported by NSW Health staff. These insights help to determine where statewide improvements to clinical care can be made. The information obtained from IIMS data analysis has been the basis for many CEC projects and continues to highlight emerging issues across the public health system.

IIMS provides a wealth of information about how NSW Health staff address risks to safe and effective patient care. Root Cause Analysis (RCA) of serious incidents provides further detail of where clinical care systems can fail. The patient safety team recognises that the greatest benefit of the incident reporting system is provision of timely and open feedback to clinical staff, their managers and the patients and families they care for. In this way we can work together to provide the high level of clinical care for which NSW Health is recognised.

© Agency for Clinical Innovation 2021