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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.
5 Aug 2014, Medication Safety
This alert highlights recommended actions to reduce the risk in adults of 118.75mg oral metoprolol being administered when metoprolol 11.875mg is prescribed.
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.
17 Oct 2014, Reducing Harm from Falls
Falls analysis template based on a human factors framework.
18 Jul 2017, Adverse Events
This report alerts providers to adverse event cases reported to the Commission’s Adverse Events Learning Programme.
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.
23 Jul 2012, Adverse Events
The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
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.
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.
1 Mar 2019, Patient Deterioration
This guide helps project leads and teams prepare for and implement a nationally consistent maternity early warning system (MEWS). It sets out the aim of the national MEWS programme, components to implement, available support, and recommended activities.
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.
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.
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.
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.
27 May 2014, Health Quality Intelligence
This literature review focuses on methods used overseas for identifying and reducing unwarranted variation in health care with a view of informing the approach in New Zealand.
20 Dec 2018, Patient Deterioration
Presentation slides and videos from the Commission's two-day conference about patient deterioration, held in November 2018.
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.
30 Jun 2015, Family Violence Death Review Committee
This report sets out the work of the Family Violence Death Review Committee from July 2014 to June 2015.
12 Apr 2016, Medication Safety
Issue 17 of the Medication Safety Watch newsletter, a bulletin for all health professionals and health care managers working with medicines or patient safety.