Learning from adverse events report 2015–16
10 Nov 2016, Adverse Events
Report on adverse events reported to the Health Quality & Safety Commission from 1 July 2015–30 June 2016.
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10 Nov 2016, Adverse Events
Report on adverse events reported to the Health Quality & Safety Commission from 1 July 2015–30 June 2016.
21 Nov 2019, Adverse Events
This is the annual learning from adverse events report for 2018/19, 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.
4 Jul 2017, Health Quality & Safety Commission
The Health Quality & Safety Commission's Statement of Intent (for the period 2017–21).
15 Mar 2013, Child & Youth Mortality Review Committee
Report from the Child and Youth Mortality Review Committee on unintentional suffocation, foreign body inhalation and strangulation.
17 Oct 2012, Other Topics
A new section on the national medication chart has been designed with the help of the New Zealand VTE prevention steering group.
26 Mar 2019, Reducing Harm from Falls
Includes systematic reviews, clinical guidelines and toolkits.
18 Jul 2017, Adverse Events
This report alerts providers to adverse event cases reported to the Commission’s Adverse Events Learning Programme.
17 Oct 2014, Reducing Harm from Falls
Falls analysis template based on a human factors framework.
21 Sep 2016, Safe Surgery NZ
This document provides evidence for the use of checklists, briefings and debriefings, providing an overview of research and studies undertaken in various hospitals.
27 Mar 2017, Suicide Mortality Review Committee
This cost benefit analysis was undertaken to assess the benefits of investment in ongoing suicide mortality review as a tool for reducing suicide rates.
17 Jun 2014, Perinatal & Maternal Mortality Review Committee
This report provides an accurate estimate of the numbers and rates of perinatal and maternal deaths in New Zealand, describes the risk factors for such deaths, and attempts to identify where maternity and neonatal services might be focused.
16 Jun 2017, Perioperative Mortality Review Committee
In this sixth report, the Perioperative Mortality Review Committee has examined perioperative mortality in New Zealand during 2010–2014 for two new areas of interest.
30 Apr 2020, Family Violence Death Review Committee
The Family Violence Death Review Committee's Sixth report: Men who use violence | Te Pūrongo tuaono: Ngā tāne ka whakamahi i te whakarekereke.
11 Oct 2016, Pressure Injury Prevention
This report from the Health Quality & Safety Commission outlines a potential national approach to the measurement and reporting of pressure injuries.
27 Oct 2016, Infection Prevention & Control
An article from Dr Sally Roberts about the impact of the Hand Hygiene New Zealand programme on hand hygiene practices in hospitals, was published in the New Zealand Medical Journal.
30 May 2017, Partners in Care
Raising the bar on the national patient experience survey responds to the national inpatient experience survey results by investigating the lower scoring areas of the survey and recommending interventions to improve these results.
9 Jan 2019, Medication Safety
Consumer poster available in English and te reo Māori to help patients, caregivers, families and whānau talk about medication with their health care providers.
28 Sep 2017, Reducing Harm from Falls
Presentations are now online from the '3-Nation approach to reducing harm from falls' workshops
20 Dec 2018, Patient Deterioration
Presentation slides and videos from the Commission's two-day conference about patient deterioration, held in November 2018.