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Te Pū rauemi KOWHEORI-19 COVID-19 resource hub

Support for people working in health during the COVID-19 pandemic. Find information about how you can support yourselves and others, including consumers, teams and colleagues which complements and aligns with Ministry of Health resources.

Kia āta kōwhiri Choosing Wisely

The Choosing Wisely campaign seeks to reduce harm from unnecessary and low-value tests and treatment.

Hospitals use different approaches when starting Kōrero mai projects. Some put a team together first, while others start by identifying a project area.

One team began by looking at the literature on patient and family escalation. They did this to assess the benefits and challenges to people’s experiences, and the effect of this on clinical workload and patient outcomes.

A visual representation of the co-design process for kōrero mai. It goes through seven steos: Startup, Engage stakeholders, capture, understand, improve, measure and review

Project start-up

Downloadable examples and resources

Resources available on request

Tip sheet elevator pitch
From case studies: 
Capital & Coast DHB example of a Gantt chart


  1. Dwyer TA, Flenady T, Kahl J, et al. 2020. Evaluation of a patient and family activated escalation system: Ryan’s Rule. Australian Critical Care 33(1): 39–46. DOI:
  2. Gill FJ, Leslie GD, Marshall AP. 2016. The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: A systematic review. Worldviews Evidence-Based Nursing 13(4): 303–13.
  3. Vorwerk J, King L. 2016. Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: A literature review. Journal of Clinical Nursing 25(1–2): 38–52. DOI: 10.1111/jocn.12977.
Published: 21 Oct 2021 Modified: 18 Jul 2023