Investor Presentaiton

SAC 1 Data: Clinical Incidents with Communication as a Contributory Factor During July 2011 and June 2012, 76 of 123 (62%) SAC 1 clinical incident investigation reports submitted identified communication as a contributory factor. ◉ ◉ ■ ■ ■ SAC 1 Incidents categories where communication was identified included: The suicide of a patient in an inpatient unit Maternal death or serious morbidity associated with labour or delivery Retained instruments or other material after surgery requiring reoperation or further surgical procedure Haemolytic blood transfusion reaction resulting from ABO incompatibility Procedures involving the wrong patient or body part The absconding of a mental health patient Delay in recognising / responding to clinical deterioration Fetal complications Misdiagnosis and subsequent mismanagement Patient absconding with adverse outcome Unexpected death of a mental health patient Other incidents resulting in serious harm or death of a patient. Sixteen of the 76 reports referred to handover three investigation reports contained the term ISOBAR Delivering a Healthy WA

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