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RCA
Root Cause Analysis For Clinical Incidents

22 Feb 2013, Adverse Events

This document provides advice on how to manage the Root Cause Analysis (RCA) process for Severity Assessment Code 1 and 2 incidents to assist RCA Teams.

tenth annual report COVER
Tenth Annual Report of the Perinatal and Maternal Mortality Review Committee

28 Jun 2016, Perinatal & Maternal Mortality Review Committee

This report considers perinatal and maternal mortality and morbidity from 1 January to 31 December 2014; perinatal mortality from 2007 to 2014; maternal mortality from 2006 to 2014; and babies with neonatal encephalopathy from 2010 to 2014.

Patient Safety Week 2018 colouring competition [CLOSED]

10 Sep 2018, Aotearoa Patient Safety Day

This colouring page is a competition for Patient Safety Week. Download and print this colouring page and colour it in however you like. Photograph or scan your entry and upload it to the Health Quality & Safety Commission New Zealand Facebook page.

ALERT: Metoprolol

5 Aug 2014, Medication Safety

This alert highlights recommended actions to reduce the risk in adults of 118.75mg oral metoprolol being administered when metoprolol 11.875mg is prescribed.

Statement of Intent 2017–21

4 Jul 2017, Health Quality & Safety Commission

The Health Quality & Safety Commission's Statement of Intent (for the period 2017–21).