SIRS Quality Review

Please choose your organisation *

Has your organisation  submitted  a SIRS report to date? (This question relates to your organisation as a whole) *

Do you report your incidents to your Clinical Governance Committee?  *

Does the organisation have documented policies and procedures in relation to SIRS? *

Does your SIRS policy and procedures include reporting to the PHN (for relevant clients) as per the PHN process and template? *

Does the organisation have documented policies and procedures in relation to incident management?  *

What electronic incident management system does your organisation use (e.g., Connex, RISKMAN, etc)?  *

Does the incident management system collect information related to the response to the incident, e.g. Whether the incident has been reported to the police *

Has the organisation reviewed the incident management system using the ACQSC “Effective Incident Management Systems – Best Practice Guidance”?  *

Are incident records kept for a minimum of 7 years from the date of the incident?  *

Have all staff received training in relation to SIRS?  *

Do you update existing SIRS notices in My Aged Care as new information about the incident is received?  *

Do you have support mechanisms in place for staff involved in a serious incident?  *

Does your organisation provide information to consumers and/or their representatives about SIRS?  *

Does your organisation provide consumers with a Notice of Collection (ACQSC) in their language if an incident is reported via the SIRS process  *

Are there appropriate mechanisms in place to ensure privacy and confidentiality of incident records is maintained?   *