WSLHD Lessons Learned

Western Sydney Local Health District

Lessons Learned

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 care.

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

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