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    Improving Leadership & Capability
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    Medication Safety
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    Partners in Care
    Patient Deterioration
    Patient Safety Week
    Pressure injury prevention
    Primary Care
    Reducing Harm from Falls
    Safe Surgery NZ
    Mortality Review Committees

    Mortality review committees are statutory committees that review particular deaths, or the deaths of particular people, in order to learn how to best prevent these deaths.

    • Child & Youth Mortality Review Committee
    • Family Violence Death Review Committee
    • Perinatal & Maternal Mortality Review Committee
    • Perioperative Mortality Review Committee
    • Suicide Mortality Review Committee
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Home › Our programmes

Our programmes

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  • Adverse Events
  • Health Quality Evaluation
  • Improving Leadership & Capability
  • Infection Prevention & Control
  • Medication Safety
  • Patient Deterioration
  • Patient Safety Week
  • Partners in Care
  • Pressure Injury Prevention
  • Primary Care
  • Reducing Harm from Falls
  • Safe Surgery NZ
  • Other Topics
  • Mortality Review Committees
    • About us
    • News & events
    • Publications & resources
  •  MB27618

    Adverse Events

    Reporting adverse events (often referred to as incidents) assists health services to manage the risks of clinical care.

    Projects

    • Adverse event review workshops ›
    • Open Book ›
    • Trigger Tools ›
    • Learning from adverse events reports ›
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    Health Quality Evaluation

    This programme establishes baseline measures and indicators which can be used to assess the quality of the health and disability system.

    Projects

    • Atlas of Healthcare Variation ›
    • Health Quality & Safety Indicators ›
    • Patient Experience ›
    • Quality Accounts ›
    • Quality Dashboards ›
    • Quality & Safety Markers ›
  • ClinicalLeadershipCarousel

    Improving Leadership & Capability

    The improving leadership and capability programme puts quality and safety at the heart of New Zealand’s health and disability services.

    Projects

    • Clinical leadership ›
    • Improvement networks ›
    • Leadership and capability framework 'From knowledge to action' ›
    • Open Forum: International Speaker Series ›
    • Quality improvement scientific symposium ›
    • Open for leadership awards ›
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    Infection Prevention & Control

    Healthcare associated infection is one of the most frequent adverse events in health care worldwide. Up to 10 percent of patients admitted to modern hospitals in the developed world acquire one or more infections.

    Projects

    • Hand Hygiene ›
    • Prevention of Central Line Associated Bacteraemia ›
    • Surgical Site Infection Improvement ›
  • medsafetycarousel MB28216

    Medication Safety

    The Medication Safety Programme aims to greatly reduce the number of New Zealanders harmed each year by medication errors in our hospitals, general practices, aged care facilities and across the entire health and disability sector.

    Projects

    • Medicine Reconciliation ›
    • National Medication Chart ›
    • Electronic Medicines Management ›
    • Alerts ›
    • Safe use of opioids national collaborative ›
    • Safety Signals ›
    • Tall Man lettering ›
    • Other Projects ›
  • Patient Deterioration

    The Commission is running a five-year national patient deterioration programme from 1 July 2016. It aims to reduce harm from failures to recognise or respond to acute physical deterioration for all adult inpatients (excluding maternity) by July 2021.

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    Patient Safety Week

    Patient Safety Week is a commitment to consumers and patients that our health services strive to provide the best and safest care possible, every time.

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    Partners in Care

    Partners in care involves actively engaging consumers in decision making about health and disability services at every level, including governance, planning and policy development.

    Projects

    • Co-Design Partners in Care ›
    • Consumer engagement ›
    • Health Literacy ›
    • Leadership capability ›
  • Pressure injury prevention

    Pressure injuries are a major cause of preventable harm for patients using health care services. Pressure injuries impact the New Zealand health system by increasing patients’ length of stay, ACC treatment injury claims and care costs. With the right knowledge and care, most pressure injuries can be avoided.

  • primary care carousel

    Primary Care

    The Commission is increasing its focus on primary care and community services, aged residential care and disability services. The Primary Care programme aims to increase quality improvement capability in these areas.

    Projects

    • Whakakotahi 2018 – primary care improvement challenge ›
    • Whakakotahi 2017 – primary care improvement challenge ›
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    Reducing Harm from Falls

    This programme aims to reduce the harm that people can suffer if they fall and hurt themselves - especially older people receiving care, whether in hospital, residential care, or in their own home.

    Projects

    • Analysing and learning from falls events ›
    • ARRC mini-collaborative ›
    • Ask, Assess, Act ›
    • Clinical care standard for hip fracture care ›
    • DHB Assessment Tools and Care Plans ›
    • Australia and New Zealand hip fracture registry ›
    • Patient Information ›
    • Primary and community care ›
    • Falls Prevention: New Zealand module – Releasing Time to Care (The Productive Ward) ›
    • Signalling System ›
    • Vitamin D Prescribing ›
  • Perioperative-Harm-Carousel-image_MB27639.jpg

    Safe Surgery NZ

    This programme aims to improve the quality and safety of health care services provided to patients undergoing surgery in hospital. It focuses on preventing adverse events which can harm patients.

    Projects

    • Preventing VTE ›
    • Surgical teamwork and communication ›
  • othertopicscarousel MB27630

    Other Topics

    The Commission has further programmes under development to improve the quality and safety of health and disability services.

    Projects

    • Building Capability ›
    • DHB Regional Collaborations ›

Mortality Review Committees

Mortality review committees are statutory committees that review particular deaths, or the deaths of particular people, in order to learn how to best prevent these deaths.

  • Child & Youth Mortality Review Committee
  • Family Violence Death Review Committee
  • Perinatal & Maternal Mortality Review Committee
  • Perioperative Mortality Review Committee
  • Suicide Mortality Review Committee

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  • PH 04 901 6040
  • PO Box 25496
    Wellington 6146

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