Australia RACGP Standards for General Practices (5th edition) QI3.1: Managing clinical risks: the practice monitors, identifies and reports near misses and adverse events in clinical care, and the team improves its clinical risk management systems to prevent them recurring

What does QI3.1 require?

Every near miss is free information. The practice has a system through which any team member can report a clinical near miss or adverse event, such as a missed result, a vaccine error, a misidentified patient or a delayed diagnosis, without blame. Reports are recorded, reviewed by the risk or quality lead, discussed by the clinical team, and analysed for the system causes. Improvements are made to the systems involved, communicated to the team and checked for effect, and serious events are reported externally where the law or indemnity insurer requires.