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News & events

August 2014 'Let's Talk Triggers' out now

7 Aug 2014, Adverse Events

The August 2014 edition of Let's Talk Triggers, a quarterly newsletter from the Commission's Global Trigger Tools programme containing updates, trigger tool tips, featured articles and other items on patient safety.

Using trigger tools in primary care

28 Mar 2014, Adverse Events

An article published recently in the New Zealand Medical Journal shows that trigger tools are a useful way of measuring and tracking events that result in patient harm in primary care.

Wider reporting of adverse health events welcomed

21 Nov 2013, Adverse Events

Associate Minister of Health Jo Goodhew today welcomed the broadening of reporting of serious adverse events (SAEs) to include some private providers and other non-DHB organisations.

Serious Adverse Events Report 2012–13

21 Nov 2013, Adverse Events

The Health Quality & Safety Commission has released the 2012–13 report of serious adverse events (SAEs) reported by district health boards (DHBs) and other health providers.

Tairawhiti DHB has 'obligation' to learn from experience

21 Nov 2013, Adverse Events

Tairawhiti District Health has made changes to its falls assessment and care planning processes following investigations into four serious adverse events in the 2012/2013 financial year, one fewer than the previous year.

Patient safety remains Waikato DHB's top priority

21 Nov 2013, Adverse Events

Three patient safety initiatives at Waikato District Health Board (DHB) and a number of other programmes underway to address quality issues in its hospitals are evidence of a healthcare organisation sincere about putting patients first, say the DHB’s two

Commission assists Compass Health with event reporting

24 Oct 2013, Adverse Events

Compass Health, with the Health Quality & Safety Commission's support, has updated its general practice reportable event management policy, which helps general practices classify their reportable events in line with the Commission's policy.

SSE 12 Cover 220
Serious and Sentinel Events 2011/12 Media Release

20 Nov 2012, Adverse Events

The Health Quality & Safety Commission has released the 2011/12 report of serious and sentinel events (SSEs) in District Health Board hospitals. The report shows 360 SSEs were reported, 3 percent fewer than the 370 recorded in 2010/11

SSE 12 Cover 220
Serious and Sentinel Events 2011/12

20 Nov 2012, Adverse Events

The Health Quality & Safety Commission has released the 2011/12 report of serious and sentinel events (SSEs) in District Health Board hospitals. The report shows 360 SSEs were reported, 3 percent fewer than the 370 recorded in 2010/11.

David Sage
Clinical Lead for Reportable Events programme appointed

5 Oct 2012, Adverse Events

Dr David Sage has been appointed Clinical Lead for the national reportable events programme. This includes the national reportable events policy, and reporting of serious and sentinel events by district health boards (DHBs).

The economics of patient safety in acute care

24 Jul 2012, Adverse Events

A study has calculated that the economic burden of adverse events in Canadian acute care hospitals in 2009-10 was an estimated CAN$1.1 billion, including $397 million for incidents that were preventable.

Clinical Lead for Global Trigger Tools programme appointed

28 Jun 2012, Adverse Events

Gillian Robb has been appointed as the Clinical Lead for the Commission’s Global Trigger Tools work programme. Gillian is a professional teaching fellow at Auckland University, and a Senior Quality Manager at Counties Manukau DHB

Deciphering harm measurement

30 May 2012, Adverse Events

The need for agreement on how harm rates should be measured and tracked is highlighted in the Journal of the American Medical Association this week.