Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Australian Centre for Precision Health, Cancer Research Institute, School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Australas J Ageing. 2021 Mar;40(1):72-76. doi: 10.1111/ajag.12861. Epub 2020 Oct 2.
Residents in Australian aged care facilities can suffer serious preventable harm from incidents ('adverse events' (AEs)). An inadequate response to AEs by aged care facilities can compound distress to residents and their families/carers. Facilities have an obligation to respond to and investigate AEs involving residents, learn from them, and take action to reduce the chance of them reoccurring . Residential aged care facilities have a duty to create a culture where staff, residents and families/carers feel comfortable reporting AEs or complaints; there is adequate time and resources to manage AEs and complaints; and feedback is provided to staff, residents and their families/carers on the results of investigations into AEs/complaints. The Aged Care Quality and Safety Commission's role should encompass additional governance functions such as sharing results and lessons learnt from AEs, complaints and investigations across Australia, assuring the quality of investigations conducted by facilities, and undertaking national system-wide investigations.
澳大利亚养老院的居民可能会因事件（“不良事件”（AEs））而遭受严重的可预防伤害。养老院对 AEs 的反应不足会加剧居民及其家人/照顾者的痛苦。养老院有责任对涉及居民的 AEs 做出回应并进行调查，从中吸取教训，并采取行动降低再次发生的可能性。养老院有责任营造一种文化，让员工、居民和他们的家人/照顾者感到舒适地报告 AEs 或投诉；有足够的时间和资源来管理 AEs 和投诉；并向员工、居民及其家人/照顾者提供有关 AEs/投诉调查结果的反馈。澳大利亚老年护理质量和安全委员会的作用应包括额外的治理职能，例如在澳大利亚各地分享 AEs、投诉和调查的结果和经验教训，确保设施进行的调查的质量，并进行全国性的系统调查。
