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Improving safety in response to mental health and addiction adverse events

Mental health & addiction quality improvement
10 January 2020

The second co-design workshop for the Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau/Learning from adverse events and consumer, family and whānau experience project was held in Auckland on 11 December and Wellington on 12 December 2019. 

DHB project teams consider ways to engage consumer, family and whānau in this project. Auckland, 12 December 2019.

Members of Southern DHB’s project team consider how to prioritise their change ideas for testing. Wellington, 13 December 2019.

Learning from adverse events and consumer, family and whānau experience is one of the five priority areas for the Commission’s national five-year mental health and addiction quality improvement programme.

The workshops were attended by 82 people over the two days with representatives from 18 DHBs as well as non-governmental organisations, consumer advisors and Commission staff.

The workshops were an opportunity for participating teams to:

  • share progress from their co-design engage, capture and understand phases
  • learn from their peers about specific co-design methods and tools they have used
  • plan for the next stages of their project.

Guest presenters: 

  • Cassandra Laskey, professional leader peer support, mental health service at Counties Manukau Health shared the Tiaho Mai co-design story.
  • Sarah Imray, clinical nurse specialist, patient at risk (PAR) service, Capital & Coast DHB, spoke on the co-design development of Kōrero mai, the patient, family and whānau escalation process that is part of the Commission’s patient deterioration programme.
  • Glen Mitchell, specialist for the adverse events learning programme at the Commission, presented on adverse events reporting.

The participating project teams will next meet to share their progress at learning session one in February 2020 which is the start of the six-month quality improvement phase for this project. 

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