Adverse events shared learning tool
18 Jul 2017, Adverse Events
This tool is for sharing learning from events that are not otherwise reported to the Health Quality & Safety Commission under the National Adverse Events Reporting Policy.
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18 Jul 2017, Adverse Events
This tool is for sharing learning from events that are not otherwise reported to the Health Quality & Safety Commission under the National Adverse Events Reporting Policy.
18 Jul 2017, Adverse Events
This report alerts providers to adverse event cases reported to the Commission’s Adverse Events Learning Programme.
30 Jun 2017, Adverse Events
30 Jun 2017, Adverse Events
29 Mar 2017, Adverse Events
Falls are one of the most common causes of injury to patients in hospital. This Open Book was written in collaboration with the Health Quality & Safety Commission’s Reducing Harm from Falls programme. It summarises four falls events, review findings and r
16 Dec 2016, Adverse Events
Issue 8 of Let's Talk Triggers, the e-newsletter from the Commission's Trigger Tools programme.
10 Nov 2016, Adverse Events
This discussion document proposes potential changes to the National Reportable Events Policy 2012, based on the findings of our literature review and stakeholder discussions and seeks views on the proposed changes.
10 Nov 2016, Adverse Events
This report presents the findings of the Health Quality & Safety Commission’s (the Commission’s) interviews with providers and consumers on the National Reportable Events Policy. It summarises their views and ideas for change.
10 Nov 2016, Adverse Events
Report on adverse events reported to the Health Quality & Safety Commission from 1 July 2015–30 June 2016.
10 Nov 2016, Adverse Events
To inform a scheduled review of the National Reportable Events Policy, the Health Quality & Safety Commission has conducted a brief scan of overseas literature on patient safety reporting systems. This report summarises the literature review findings.
19 Oct 2016, Adverse Events
Issue 7 of Let's Talk Triggers, the e-newsletter from the Commission's Trigger Tools programme.
30 Jun 2016, Adverse Events
This report alerts providers to key findings and actions following review of two incidents in different organisations where surgical equipment was assembled incorrectly resulting in patient harm in the operating theatre.
16 Jun 2016, Adverse Events
This report alerts providers to key findings and actions following review of delayed recognition of lack of red reflex in a newborn.