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SAC 1 Clinical Incident Notification Form All Severity Assessment Code (SAC) 1a clinical incidents, including sentinel events are to be notified to the Patient Safety Surveillance Unit (PSSU) within seven working days of
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Document Date: 2014-05-08 23:31:53


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City

Hospital / /

Company

Fetal / Sentinel / /

/

Facility

Hospital ID / /

/

IndustryTerm

gas embolism resulting / healthcare / subsequent management / /

MedicalCondition

psychological injury / Infection / illness / gas embolism / /

MedicalTreatment

resuscitation / surgery / blood transfusion / Medication error / /

Organization

HS Safety Quality and Performance Unit / Patient Safety Surveillance Unit / Patient Safety Surveillance Unit SAC / /

Position

Governor / Executive Director / local risk manager / line manager / Director / Public Health / Chief Psychiatrist / /

Product

Infection control breach Medication / /

PublishedMedium

the WA Review / /

URL

http /

SocialTag