NGPA Scheme - Notification of significant risk

Advisory GP18/04: Notification of significant risk describes the requirements for accrediting agencies to notify the Australian Commission on Safety and Quality in Health Care of significant patient risks identified during the assessment of general practices.

This form has been developed to support online notification of significant risks. It captures key information and streamlines processes for tracking and reporting purposes.

Accrediting agency

Accrediting agency contact

Name of person completing this form

Email address

Email of person completing this form

General practice name

General practice address

State

Post code

General practice unique ID (allocated by ACSQHC)

Date significant risk(s) was identified:

dd/mm/yyyy

Cold chain breach?

RACGP indicator related to the significant risk:

Details of the significant risk identified:

Attach mitigation plan

Please use mitigation plan template provided by ACSQHC

Drop your files here

Privacy disclaimer

The Australian Commission on Safety and Quality in Health Care collects personal information when the information is necessary for, or directly related to, the Commission’s functions or activities. All personal information is held and treated in accordance with the Australian Privacy Principles under the Privacy Act 1988 and the Commission’s Privacy Policy.

By submitting this form, I agree that I have obtained consent to provide this information to the Commission.

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