SAC 1 clinical incidents are clinical incidents that have or could have (near miss) caused serious harm or death that is attributable to health care provision (or lack thereof) rather than the patient’s underlying condition or illness.
Public hospital and health service notification of SAC 1 clinical incidents occurs via the Datix Clinical Incident Management System (CIMS). A number of User Guides are available to assist with use of Datix CIMS.
Private licensed and health care facilities and non-government organisations (in accordance with their licence or contract with WA Health) notify SAC 1 clinical incidents using the SAC 1 Clinical incident notification form (PDF 210KB) and sending it via email to SAC1.events@health.wa.gov.au
In WA, sentinel events are categorised as Severity Assessment Code 1 (SAC 1) clinical incidents. The reporting of SAC 1 clinical incidents is mandatory for:
- public hospitals
- all private licensed health care facilities
- nongovernment organisations (in accordance with their license or contract with WA Health).
As outlined in the Clinical Incident Management Policy the key timeframes are:
- to submit completed investigation reports which are due within 45 working days of notification to the Patient Safety Surveillance Unit
- a progress report must be submitted to the PSSU within 6 months (182 calendar days) to advise the status of each endorsed recommendation.
- an evaluation report must be submitted to the PSSU within 12 months (365 calendar days) with evidence of implemented recommendation actions.
See the closing the loop page for more detail about the evaluation of recommendations.
CIM Policy Pack – Resources
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Patient Safety and Surveillance Unit
Email: pssu@health.wa.gov.au
Last reviewed: 06-12-2023
Produced by
Patient Safety Surveillance Unit