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Learning from adverse events report 2017–18

7 Dec 2018, Adverse Events

This is the annual learning from adverse events report for 2017–18, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.

Always report and review list 2018–19

9 May 2018, Adverse Events

The always report and review list is a subset of adverse events that should be reported and reviewed in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer/patient.

Learning from adverse events report 2016–17

24 Nov 2017, Adverse Events

This is the annual adverse events report published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.

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.

Open Book: Lessons learnt from reviewing patient falls (March 2017)

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