Programmes
Types
Years
Months

Publications & resources

Sort by Recent Popular

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.

Severity Assessment Criteria tables

1 Oct 2012, Adverse Events

The likelihood and consequences tables are used by district health boards (DHBs) to assist with the classification of incidents by DHB quality and risk managers.

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.

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.