Queensland Numbered Acts

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HEALTH AND HOSPITALS NETWORK ACT 2011 No. 32 - SECT 100

100 RCA team's report and chain of events document

(1) An RCA team must, as soon as practicable after conducting an RCA of a reportable event, prepare a report (the RCA report) stating the following—

(a) a description of the event;
(b) a statement of the factors the RCA team considers contributed to the happening of the event;
(c) any recommendations about changes or improvements in a policy, procedure or practice relating to the provision of health services, to reduce the likelihood of, or prevent, the same type of event happening again.

(2) In addition to the RCA report, the RCA team may prepare a document (the chain of events document) that details, or pictorially represents, the chain of events identified by the RCA team as having led to the happening of the reportable event.

(3) The RCA report or chain of events document must not contain the name or address of—

(a) a person involved in providing the relevant health service; or
(b) the person who received the relevant health service; or
(c) a member of the RCA team.


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