NGPA Scheme - Notification of significant risk

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*

Select

Accrediting agency contact*

Name of person completing this form

Email address*

Email of person completing this form

General practice name*

General practice address*

State*

Select

Post code*

General practice unique ID (allocated by ACSQHC)*

Date significant risk(s) was identified:

Cold chain breach?*

Select

Date cold chain breach was reported:*

Cold chain breach must be immediately reported to the state and territory health department as per requirements outlined in National Storage Guidelines 'Strive for 5'

RACGP indicator related to the significant risk:*

Details of the significant risk identified:*

Attach mitigation plan*

Please use mitigation plan template provided by ACSQHC

Drag and drop files here or

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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.

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