Recommendation,State,Year,InquiryType,DisasterType,Recommandation REC159-3058,ACT,2009,Audit,"All hazard","ACTAS should improve patient care processes by: • developing risk-based procedures for selecting, planning and conducting ‘Patient Care Record Reviews’, ‘Specific Reviews’ and ‘Medical Reviews’; • monitoring whether these reviews are carried out as planned; and • reporting results to management. Management in turn should monitor whether agreed recommendations are implemented." REC144-3379,ACT,2008,Parliamentary,"All hazard","The Committee recommends that a thorough review be undertaken of the communications and coordination between the separate agencies which make up the Emergency Services Agency, to assess the extent to which cultural factors are detrimental to the effective operation of the ESA."