Department of Health

Review of hospital safety and quality assurance in Victoria

Targeting zero, the review of hospital safety and quality assurance in Victoria was commissioned by the Minister for Health following the discovery of a cluster of tragically avoidable perinatal deaths at Djerriwarrh Health Services.

The review was a detailed and extensive analysis into how the Department of Health oversees and supports quality and safety of care across the Victorian hospital system.

It consulted widely, seeking the views and experiences of patients, clinicians, hospital managers and boards about how to make Victoria's healthcare systems safer.

It highlights cases of excellence and success that have not been shared across the health system as a missed opportunity to strengthen statewide systems and better protect patients.

The Victorian Government and the Department of Health accept in principle all the recommendations of the review, with work already underway to implement them.

Better, Safer Care - Delivering a world-leading healthcare system sets out how the government and department are addressing the entirety of the Review's recommendations under four areas of emphasis:

  • Setting the goal that no one is harmed in our hospitals
  • Supporting strong leadership in hospital governance - with good clinical leaders, effective boards and rigorous oversight
  • Sharing excellence across our health system - so that where one hospital does something well, others can follow suit; and
  • Collecting great data about patients' experiences and feeding that back across the system to improve patient care.

As part of this response, new organisations will be established to simplify the current system and better respond to the needs of patients and healthcare workers:

  • Safer Care Victoria will work with health services to monitor and improve the quality and safety of care delivered across our health system, with the goal of achieving zero avoidable patient harm.
  • A new health information agency will analyse and share information across our system to ensure everyone has an accurate picture of where the concerns are, and where we're getting it right.
  • The Victorian Clinical Council will put clinicians front and centre to provide clinical expertise to the Government, the department and health services on how to make the system safer and provide better care to all Victorians.
  • The Boards Ministerial Advisory Committee will ensure our hospital and health service boards have the right mix of skills, knowledge and experience to strengthen local governance and decision making.

To learn more about the response and the full range of actions to be undertaken by the government and the department download Better, Safer Care - Delivering a world-leading healthcare system.


For more information contact us via email:

Reviewed 15 November 2021


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