128TSerious adverse patient safety event review report

128T Serious adverse patient safety event review report (1) A SAPSE review panel must prepare and produce a report for the health service entities which appointed it as soon as practicable after completing an investigation into a serious adverse patient safety event. (2) A report under subsection (1) must contain one or more of the following elements as considered appropriate by the SAPSE review panel— (a) a description of the serious adverse patient safety event; (b) analysis identifying why the event happened and any factors that contributed to the event; (c) any recommendations about changes or improvements in a policy, procedure or practice relating to the provision of a health service that are intended to reduce the likelihood of, or prevent, the same type of event happening again; (d) any prescribed matter or requirement. (3) A report under subsection (1) must not contain— (a) the name or address of the following— (i) a person involved in providing the relevant health service; (ii) a person who received the relevant health service; (iii) a member of the SAPSE review panel; (b) any other prescribed information. S. 128U inserted by No. 4/2022 s. 5.