Medical and Clinical Forum June 2019

The Clinical Excellence Commission (CEC) held the NSW Clinical Leadership Forum on Morbidity and Mortality (M&M) meetings on Friday 14 June 2019. This forum was attended by over 100 clinicians from a diversity of disciplines from across all Local Health Districts (LHDs). The forum focused on the role of M&Ms in improving safety and quality with a focus on:

  • Enabling a safe space for learning rather than judgement
  • Engaging multidisciplinary team participation for system improvement
  • Enhancing M&M processes with clinical analytics
  • Integration of M&Ms with other risk management systems



Associate Professor David Storey,
Clinical Advisor - Patient Safety, Clinical Excellence Commission
M&Ms from a State Perspective

Professor David Watters AM OBE,
Past President RACS
Perioperative Mortality & Morbidity Reporting in Victoria: Past, Present & Future

Dr George Douros,
Emergency Physician, Austin Health
"You can either learn or blame, you can't do both"

Dr Shehnarz Salindera,
General Surgeon, Mid North Coast LHD, University of Oxford
Safety: Beyond Swiss Cheese Systems Analysis Tools for Surgical M&M

Dr Peter Finlayson,
Medical Director, Rural and Regional Health Services
Peer Review and Engaging Isolated Practitioners in M and M Processes

Dr Jim Mackie, Medical Director, Patient Safety, CEC
Jun Bai, Senior Manager, Data Team, CEC
QIDS Application Data for Patient Safety & Quality Improvement

Associate Professor Arthur Richardson,
Associate Professor of Surgery | University of Sydney 
Head HPB/UGI Surgery | Westmead Hospital
Chairperson Surgical Services Taskforce ACI
National Surgical Quality Improvement Program - NSQIP

Dr Clare Skinner,
Director of Emergency Medicine | Hornsby Ku-ring-gai Hospital
Chair – Emergency Medicine Network NSLHD 
Clinical Incident Investigation: Safety I vs Safety II – why it is time to change

Dr Dane Chalkley,
Deputy Director Emergency Medicine, Royal Prince Alfred Hospital
Safety 2 for M+Ms

Dean Bell,
Deputy General Counsel and Director Legal, Legal and Regulatory Services, MoH
Elizabeth (Liz) Latter,
Legal Officer, Legal and Regulatory Services, MoH
Are the legislative provisions in Part 2 Division 6B of the Health Administration Act "fit for purpose"?

Karen Patterson,
Director Capability & Culture, Clinical Excellence Commission
Interactive Sessions Design and implementation of Improvement in M&Ms