The Office of the Health Ombudsman publishes snapshot reports to provide information to the public and health service providers about:

  • identifying and dealing with health service issues and complaints
  • identifying and reporting on systemic issues in the way health services are provided
  • providing health services in ways that minimises health service complaints
  • resolving health service complaints

The reports focus on sharing key issues, outcomes and/or learnings arising from a variety of activities undertaken by the OHO to inform and promote improvements in the safety and quality of health service delivery.

Reports may relate to the following activities:

  • investigations when it is not appropriate to publish the full report or completed in conjunction with the publication of a fulsome investigation report
  • proactive activities following a review and analysis of OHO data or information received on safety and quality issues in health service delivery
  • outcomes of conciliation and other resolution processes
  • outcomes following referral of matters to State or Commonwealth entities
  • a service’s progress on implementation of recommendations arising from an investigation

Snapshot report title

Date

Topic

Review into the management of alleged sexual safety incidents and device restrictions within an inpatient mental health unit

22/05/2026

Mental Health

Investigation into the care and management of a consumer with complex needs in an acute care setting

27/04/2026

Standard of care

Review into the provision of patient care in a mental health facility

15/04/2026

Mental Health

Maternity care, neonatal resuscitation and family support following the death of a baby

16/03/2026

Maternity services

Outcome report on implementation of OHO recommendations at Doomadgee Rural Hospital and Gidgee Healing

10/11/2025

Standard of care

Issues of standards, consenting and contractual arrangements at a private rehabilitation facility

24/09/2025

Standard of care

Outcome report on implementation of OHO recommendations relating to sexual safety risks and alleged assaults in mental health services

01/09/2025

Mental Health

Obligations and standards for personal emergency alarm services provided in residential settings

26/08/2025

Patient safety

Review into hospital and health service compliance with therapeutic visual observations (TVO) in a mental health facility

26/03/2025

Mental Health

Outcome report on implementation of OHO recommendations at Doomadgee Rural Hospital and Gidgee Healing

04/02/2025

Standard of care

Health service’s response to referral of systemic issues impacting on patient safety and staff culture

06/12/2024

Patient safety and staff culture

Review into a hospital’s maternity care

07/11/2024

Maternity services

Hospital and Health Service compliance with mandatory notification obligations related to health practitioners

30/10/2024

Reporting

Health service entity’s management and reporting of clinical incidents

23/09/2024

Reporting

Focus on unregistered support staff and addressing sexual safety and potential risks for vulnerable consumers

17/07/2024

Mental Health

Focus on care provided to patients, completion of patient records, infection control and clinical incident management

28/06/2024