69—Appointment of teams
(1) If an
adverse incident involving a health services entity is reported to, or comes
to the attention of, a designated authority, the designated authority may
appoint a team (a root cause analysis or RCA team) to undertake an
investigation and to provide reports in relation to the incident in accordance
with this Part.
(2) The RCA team may
be constituted by such persons as the designated authority may determine after
taking into account any requirements prescribed by the regulations.
designated authority must ensure that a written record is kept of the persons
appointed as members of the RCA team.
(4) The purpose of an
investigation is to identify issues within the system that contributed to or
resulted in the occurrence of the adverse incident and to provide
recommendations for measures to prevent a reoccurrence of a similar incident.
(5) The procedures and
processes adopted for the purposes of an investigation will be
the regulations; or
the extent that the regulations do not regulate a particular matter—by
the relevant team (taking into account any relevant protocols authorised by
the health services entity or professional standards or requirements).