The Victorian Department of Health has implemented some clinical governance improvements since Targeting Zero report into patient safety released in 2016, but it has only fully implemented one out of the 11 frameworks recommended and it still does not have a fully functioning statewide incident management system, an auditor’s report has found.
The Victorian Auditor-General’s Office (VAGO) report into the Targeting Zero review of 2016 looked at responses to a cluster of infant deaths at Djerriwarrh Health Services between 2012 and 2014.
