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Lookback Review

A lookback review process is triggered when a group of patients are affected by a cluster incident.

A cluster incident is a type of adverse incident where there is a group or series of harmful incidents that are the result of one systemic error or issue, and that involves a systems failure or multiple systems failure that does or has the potential to place more than five patients directly at risk.

The lookback review process involves:

  • identifying, tracing, communicating, and providing appropriate ongoing advice to, and/or management of, the group of patients.
  • notification to appropriate external bodies, senior management and executives of the Health Service, and the Department for Health and Ageing.
  • establishment and implementation of a coordinated plan for review, investigation and determining recommended actions to prevent recurrence.
  • formation of a communication strategy, including notification to the general public, where appropriate.

Detail of the process to be followed during a lookback review is provided in the Lookback Review Policy Directive (PDF 508KB).

A lookback review action plan template will be available to assist the review team.

For further information, see  Patient Incident Management and Open Disclosure.

Contact SA Health Safety and Quality Unit

Mandy Davies
Principal Project Officer Governance and Policy
Telephone: (08) 8226 6320

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