Investor Presentaiton

Patient safety surveillance Patient safety is considered a framework of organised activities in health care that consistently and sustainably lower risks, reduce the occurrence of avoidable harm, make errors less likely, and reduce the impact when errors do occur.² Clear policies, data to drive safety improvements, skilled healthcare professionals and effective involvement of patients and families in the care process, are all needed to ensure sustainable and significant improvements in the safety of health care. Part of the role of the department is to oversee, monitor and promote improvements in the safety and quality of health services provided by HSPs. This is managed through the Clinical Governance, Safety and Quality Policy Framework and implementation of safety and quality programs. A strong patient safety reporting culture, patient safety systems, including clinical incident, consumer feedback, and mortality review processes, all form part of the clinical governance structure across the WA health system. This enables continuous learning and quality improvement that supports the provision of safe, high-quality, person-centred care. Included in this approach for continuous quality improvement is the reporting of statewide clinical incident (including sentinel events), mortality review and complaint data. The Your safety in our hands in hospital³ annual report provides patient safety information (see Figure 6), integrates case studies to highlight the patient story behind patient safety events, and shares the lessons learnt from these events. Your safety in our hands in hospital Ash 202 Recent findings identified the rate of inpatient confirmed incidents in hospitals resulting in no harm was 62.3 per cent. Incidents resulting in serious harm or death (Severity Assessment Code (SAC) 1) remain low at 1.6 per cent of all patients. Infection control breaches (n=124; 22.6 per cent) and complications of a fall in a health service (n=105; 19.2 per cent) remain the 2 most frequently reported types of SAC 1 clinical incidents. Contributing factors to these incidents included communication errors (n=330; 69.9 per cent) and issues associated with policies, procedures, and guidelines (n=314; 66.5 per cent). Moving forward the department aims to continue to promote a culture of reporting and learning from patient safety events. This includes ensuring that clinical incidents with serious, harmful outcomes are reviewed thoroughly as SAC 1 events. Figure 6: WA Health patient safety summary findings, 2022 Number of complaints 2021/22 2020/21 5,395 5,382 Surgical deaths were definitely preventable (in calendar year) 2021 1/592 2020 1/532 {® Number of confirmed incidents 2021/22 2020/21 32,183 32,820 + - +++ SAC 1 patient outcome of death 2021/22 139 2020/21 147 IM Number of confirmed SAC 1 incidents 2021/22 2020/21 574 586 Number of sentinel events with patient outcome of serious harm or death 2021/22 19 2020/21 15 Note: Comparison is based on data published in the 2021 report 2. World Health Organization. (2021). Patient safety: About us 3. Patient Safety Surveillance Unit (2022), Your Safety in Our Hands in Hospital. An Integrated Approach to Patient Safety Surveillance by WA Health Service Providers, Hospitals and the Community: 2022. Delivering Safer Care Series Report Number 11. Department of Health: Perth. Version 1 < 42 > Contents About us Significant issues Report on operations Agency performance • Operational disclosures Key performance indicators • Financial disclosures and compliance • Appendix

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