The Western Sydney Local Health District is committed to providing
the best care we can, but we also recognise that sometimes the treatment
and care we provide does not meet our patients expectations, or indeed
our own expectations.
We acknowledge that any incident resulting in harm to a patient is
unacceptable and all such incidents must be reviewed to learn what we
can to prevent a similar incident recurring.
The NSW Patient Safety and Clinical Quality Program is embedded in
the services of our District and provides guidance and support to
staff to report errors that might create a safety risk to patients.
Incident trends and outcomes of investigations are provided to clinical
and management teams, who play a part in changing practice to improve
We continue to work closely with NSW Clinical Excellence Commission
(CEC) which is responsible for taking a wider look at trends in patient
safety and ensuring how lessons learned from incidents can be
communicated across NSW.
Our Board is committed to knowing about and attempting to learn from
adverse incidents in the care of patients and has requested the lessons
learned from investigations be published on this Lessons Learned website
to: share the experience of the incident, to share the proven solutions
and to improve our understanding of how errors can be prevented in the
future. The District Health Care Quality Committee is overseeing this
process in consultation with the Board and management.
If you have comments or questions about the lessons learned published on this site, please contact WSLHD-CGMail@health.nsw.gov.au