PDF 534 KB
clinical incident management, supported by guidelines for clinical incident review, root cause analysis, cluster incident review and open disclosure
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:
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.
Clinical Governance Unit
Email: Health.DHWClinicalGovernanceEnquiries@sa.gov.au