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Te Kaupapa Here hei tuku pūrongo mō ngā ‘Aituā ā-Motu’

National Adverse Events Reporting Policy

The national adverse events reporting policy sets out local organisational roles and the Commission’s national role in reporting, reviewing and learning from adverse events.

In Aotearoa New Zealand, reporting of adverse events is guided by the national adverse events policy.

The 2017 policy applies until 30 June 2023. From 1 July 2023, the 2023 policy applies. Both policies are available via links at foot of this page.            

The Commission published the 2023 policy in February 2023 to help organisations prepare for implementation from 1 July.

About the 2023 policy

The aim of the 2023 policy is to improve consumer and health care worker safety by supporting organisations to heal, learn and improve following harm that occurs in health and disability services.

The policy embeds Te Tiriti o Waitangi and a te ao Māori world view and puts a focus on relationships through whānau engagement, equity, restorative practice and hohou te rongo (peace-making) restorative responses.

The 2023 policy was developed in 2022 and involved a Commission-coordinated co-design process with a national working rōpū that included sector representatives from across the country.

A national roadshow will begin in March 2023 to familiarise providers with the policy, and resources are being co-designed to support providers as they implement the policy.

Providers have the 2023/24 year as a transition year to allow time to update internal policies and processes to reflect the revised national policy, and until 1 July 2028 to implement restorative practice principles.

Training opportunities

Training is also available to help you put the new policy into practice. Our workshops will help you: 

  • understand the essential components of high-quality adverse event review 
  • take part in a simulated adverse event review as a member of the review team. 

You can find out more about upcoming workshops here:

To learn more about restorative responses to health care harm, including hohou te rongo, you can register for our interactive hui on 28 March 2023:

If you have any queries about the 2023 policy, please email

Related Resources

Last updated: 10th February, 2023