The learning from adverse events and consumer, family and whānau experience project / Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau held a workshop for mental health and addiction clinical leaders on Wednesday 26 June 2019 at SPCA, Newtown, Wellington.
The preliminary workshop was held in preparation for the start of this project with supra-regional co-design workshops planned for 12 September in Auckland and 13 September in Wellington.
Mental health and addiction clinical leaders and the Health Quality & Safety Commission’s adverse events learning programme team came together to explore the way adverse event processes in mental health and addiction services are managed, current international thinking around adverse event management, and how we can improve our learning from these events.
Guest speakers included:
- Dr David Hughes, clinical lead for the Commission’s adverse events learning programme and deputy chief medical officer, Counties Manukau Health and Dr Arran Culver, clinical leader, younger persons community mental health sector, professional lead psychiatry, MHAIDS who presented jointly on the evolution and direction of the national adverse events reporting policy and process.
- Dr Arran Culver also presented on creating safety through practice to improve the way we learn from adverse events.
- Dr Carl Horsley, intensivist, critical care complex, Counties Manukau Health. Dr Horsley’s presentation focused on resilient health care.
- Jo Wailing, research associate, the Diane Unwin chair in restorative justice, Victoria University of Wellington. Jo's presentation explored the paradigm of restorative practice.
Forty six attendees, including representatives from 17 district health boards, as well as non-governmental organisations, primary care, partner organisations and Commission staff participated in the constructive and informative day.