47Serious adverse event review of incident

#### 47 Serious adverse event review of incident 47 Serious adverse event review of incident > > (1) A serious adverse event review team is to carry out a serious adverse event review of the incident in respect of which it was appointed. > > > (2) A serious adverse event review team must, on completion of the serious adverse event review of an incident, prepare a written report that sets out a description of the incident and details of the following findings identified by the team— > > > > > (a) how the incident occurred, > > > > > (b) any factors that caused or contributed to the incident. > > > (3) The report must also include the serious adverse event review team’s recommendations (if any) about changes or improvements in relation to a procedure, practice or system (including clinical redesign) arising out of the incident unless the licensee determines that those recommendations are instead to be developed and included in a second report. > > > (4) If the licensee determines that the recommendations are to be developed and included in a second report, the licensee may appoint additional persons to the serious adverse event review team for the purpose of developing the recommendations and preparing the second report. > > > (5) The serious adverse event review team must provide any report prepared under this section to the licensee and provide a copy of the report to the chair of the medical advisory committee for the private health facility. > > > (6) The licensee must, within 30 days after being provided with a report under this section, forward a copy of the report to the Secretary. > > > > Maximum penalty—50 penalty units. > > > (7) Subject to section 49E, the contents of a report under this section may be disclosed to any person and used for any purpose. > > **s 47:** Subst 2010 No 52, Sch 2.2 \[12\]. Subst 2018 No 73, Sch 6\[1\].