To the Editor: On reviewing the results of the Wimmera clinical risk management program,1 we are prompted to ask whether the model can be generalised to a tertiary hospital. The program outlined by Wolff and colleagues is a good model for local quality improvement and provides a foundation for developing a model for tertiary hospitals. However, in considering its applicability to tertiary hospitals, a number of issues must be addressed.
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- 1 Intensive Care Unit, Frankston Hospital, Melbourne, VIC.
- 2 Clinical Services, Austin and Repatriation Medical Centre, Melbourne, VIC.
- 3 Department of Human Services, Melbourne, VIC.
- 1. Wolff AM, Bourke J, Campbell IA, Leembruggen DW. Detecting and reducing hospital adverse events: outcomes of the Wimmera clinical risk management program. Med J Aust 2001; 174: 621-625. <eMJA full text>
- 2. Victorian Government Department of Human Services. Victoria — public hospitals policy and funding guidelines 2001/2002. Melbourne: Victorian Government Department of Human Services, 2001.
- 3. Therapeutic Guidelines Limited. Therapeutic guidelines: antibiotics. 10th ed. Melbourne: Therapeutic Guidelines Limited. 1998.
- 4. Therapeutic Guidelines Limited. Therapeutic guidelines: cardiovascular. 3rd ed. Melbourne: Therapeutic Guidelines Limited, 1999.