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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.

Reducing mortality from traumatic critical haemorrhage remains a priority for the Health Quality & Safety Commission and the National Trauma Network. Since publishing the national best practice bundle of care in December 2020, we have seen a continued decrease in mortality from haemorrhage across New Zealand, from 12.3 percent down to 5.6 percent of trauma deaths.

 Figure 1: Proportion of trauma deaths from haemorrhage 201722 

The Commission has now completed a second site survey at two-years post publication of the bundle.

Thank you to all who participated in the two-year survey. We received a total of 19 responses of the 23 hospitals we surveyed, an overall response rate of 83 percent. Of the responses:

  • 79 percent (15 sites) now have a formalised activation protocol for critical haemorrhage in place, up from 54 percent at one year
  • Two further sites are working with their trauma committees and blood banks to finalise and implement a local critical haemorrhage activation
  • Two-thirds of services have made amendments to their Massive Transfusions Protocol (MTP) based on the evidence-based guidelines found in the bundle of care since publication, with a further three sites in the process of doing so
  • 100 percent of emergency departments are holding annual critical haemorrhage simulation training at both
  • 75 percent of operating theatres (14 sites) are now holding simulation training at 24 months.

Related resources

Two-year site survey infographic (156KB, pdf)

One-year site survey results

Published: 17 Mar 2023 Modified: 9 Aug 2023