Health Services Amendment Regulation (No. 1) 2008 (Qld)

Queensland Health Services Amendment Regulation (No. 1) 2008 Subordinate Legislation 2008 No. 69 made under the HealthServicesAct1991 Contents Page 1 Short title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Commencement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Regulation amended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 4 Insertion of new pt 6A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Part 6A Root cause analyses 33B Reportable events—Act, s 38G . . . . . . . . . . . . . . . . . 2 33C Patient safety entities—Act, s 38X(6) . . . . . . . . . . . . . 3 33D Authorised purposes for Queensland Health Patient Safety Centre—Act, s 38X(6) . . . . . . . . . . . . . . . . . . . 4 33E Authorised purposes for director or deputy director of clinical governance unit for the northern, central or southern health service area—Act, s 38X(6) . . . . . 5

Health Services Amendment Regulation (No. 1) 2008 [s 1] 1 Short title This regulation may be cited as the Health Services Amendment Regulation (No. 1) 2008 . 2 Commencement This regulation commences on 20 March 2008. 3 Regulation amended This regulation amends the Health Services Regulation 2002. 4 Insertion of new pt 6A After part 6— insert— ‘Part 6A Root cause analyses ‘33B Reportable events—Act, s 38G ‘(1) For section 38G of the Act, definition reportable event , the following events are prescribed— (a) the death of a person, or an injury suffered by a person, while giving birth; (b) the death of a person caused by the incorrect management of the person’s medication; (c) the death of a person, or neurological damage suffered by a person, caused by an intravascular gas embolism; (d) the wrong procedure being performed on a person, or a procedure being performed on the wrong part of a person’s body, resulting in the death of the person or an injury being suffered by the person; (e) the retention of an instrument, or other material, in a person’s body during surgery that requires further surgery to remedy the retention; Page 2 2008 SL No. 69

Health Services Amendment Regulation (No. 1) 2008 [s 4] (f) the death of a person, or an injury suffered by a person, caused by a haemolytic blood transfusion reaction resulting from the wrong blood type being used for the person during a blood transfusion; (g) the suspected suicide of a person receiving inpatient health care; (h) the suspected suicide of a person who is undertaking mental health treatment or rehabilitation while residing in the community; (i) any other death of a person, or an injury suffered by a person, that was not reasonably expected to be an outcome of the health service provided to the person. ‘(2) For subsection (1), a reference to an injury is a reference to an injury that is likely to be permanent. ‘33C Patient safety entities—Act, s 38X(6) ‘(1) For section 38X(6) of the Act, definition prescribed patient safety entity , each of the following is a patient safety entity— (a) for a public sector health service facility—Queensland Health Patient Safety Centre; (b) for a public sector health service facility located within the health service area known as the northern health service area—the director or deputy director of the clinical governance unit for the northern health service area; (c) for a public sector health service facility located within the health service area known as the central health service area—the director or deputy director of the clinical governance unit for the central health service area; (d) for a public sector health service facility located within the health service area known as the southern health service area—the director or deputy director of the clinical governance unit for the southern health service area. 2008 SL No. 69 Page 3

Health Services Amendment Regulation (No. 1) 2008 [s 4] ‘(2) In this section— deputy director , of a clinical governance unit, means— (a) for the clinical governance unit for the northern health service area—the person occupying the position in the unit with the title ‘manager quality safety and clinical networks’ or, if from time to time the title is changed, the changed title; or (b) for the clinical governance unit for the central or southern health service area—the person occupying the position in the unit with the title ‘assistant director of clinical governance’ or, if from time to time the title is changed, the changed title. director , of a clinical governance unit, means— (a) for the clinical governance unit for the northern health service area—the person occupying the position in the unit with the title ‘director clinical support unit directorate’ or, if from time to time the title is changed, the changed title; or (b) for the clinical governance unit for the central or southern health service area—the person occupying the position in the unit with the title ‘director of clinical governance’ or, if from time to time the title is changed, the changed title. ‘33D Authorised purposes for Queensland Health Patient Safety Centre—Act, s 38X(6) ‘For section 38X(6) of the Act, definition authorised purpose , each of the following is an authorised purpose for the Queensland Health Patient Safety Centre— (a) developing, reviewing and improving policies and standards relating to the conduct of root cause analyses; (b) developing and implementing training programs in— (i) the conduct of root cause analyses; or (ii) the preparation of RCA reports; or Page 4 2008 SL No. 69

Health Services Amendment Regulation (No. 1) 2008 [s 4] (iii) the preparation of chain of events documents; (c) issuing State-wide patient safety alerts, advisories and other relevant information to support patient safety initiatives; (d) using information contained in RCA reports and chain of events documents for the purpose of monitoring and evaluating patient safety initiatives and programs; (e) reporting on the conduct of root cause analyses and the corrective actions arising from any recommendations contained in RCA reports; (f) undertaking research on the conduct of root cause analyses. ‘33E Authorised purposes for director or deputy director of clinical governance unit for the northern, central or southern health service area—Act, s 38X(6) ‘For section 38X(6) of the Act, definition authorised purpose , each of the following is an authorised purpose for the director or deputy director of the clinical governance unit for the northern, central or southern health service area— (a) contributing to the development, review and improvement of policies and standards relating to the conduct of root cause analyses; (b) monitoring and reporting on the implementation of corrective actions arising from any recommendations contained in RCA reports; (c) using information contained in RCA reports and chain of events documents to develop and implement patient safety initiatives.’. 2008 SL No. 69 Page 5

Health Services Amendment Regulation (No. 1) 2008 ENDNOTES 1 Made by the Governor in Council on 20 March 2008. 2 Notified in the gazette on 20 March 2008. 3 Laid before the Legislative Assembly on . . . 4 The administering agency is the Department of Health. © State of Queensland 2008 Page 6 2008 SL No. 69