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17 Jun 2011, Adverse Events
This document provides a draft set of specifications for an IT based information system that will support the national policy for the Management of Incidents.
25 May 2011, Perinatal & Maternal Mortality Review Committee
The Lancet has published the last article in a series of six papers that have detailed the global extent of the world's 2·6 million third-trimester stillbirths, where they occur, and what can be done to prevent them.
23 May 2011, Adverse Events
In 2007, the Australian Commission on Safety and Quality in Healthcare engaged the University of Queensland to learn more about the economic costs of adverse events in Australia.
12 May 2011, Medication Safety
This overview summarised the evidence contained in 37 systematic reviews on consumers' medicine use.
30 Apr 2011
The Health Quality & Safety Commission's Statement of Intent for the period 2010 to 2013
13 Apr 2011, Medication Safety
Medication errors are a frequent cause of adverse drug events and a major concern for patient safety. This study compared the predictors of error among seven countries
4 Apr 2011, Adverse Events
Four case studies document the progress made in the past five years by health care organisations in the United States that were early leaders in patient safety improvement.
29 Mar 2011, Adverse Events
Managers and staff in the South Australian state health system, and Australian patient-safety specialists, were asked for suggestions for improving patient safety.
23 Feb 2011, Adverse Events
IHI conducted an in-depth review to identify the primary and secondary drivers of exceptional patient and family inpatient hospital experience.
31 Jan 2011
The Schwartz Centre aims to strengthen the relationship between patients and caregivers.
20 Jan 2011, Adverse Events
This edition of the newsletter is dedicated to the Millennium Development Goals, and how patient safety improvements can help reach them.
6 Jan 2011
This document explains how the Commission exercises its powers of delegation
31 Dec 2010, Medication Safety
Newsletters from SQM Group for the year 2010
2 Dec 2010, Adverse Events
PowerPoint presentation for use by DHBs etc, summarising the Serious and Sentinel Events report 2009/2010. Includes notes for the presenter.
27 Oct 2010, Adverse Events
DHB Summary of Serious and Sentinel Events 2008-2009
27 Oct 2010, Adverse Events
This paper focuses particularly on clinical adverse events with an impact of permanent psychological and/or physical harm (or death) on one patient or many, often referred to as sentinel events.
14 Oct 2010, Perinatal & Maternal Mortality Review Committee
The purpose of this report is to estimate numbers of perinatal and maternal deaths in New Zealand, to describe risk factors and identify where services might be focussed.
1 Oct 2010, Perinatal & Maternal Mortality Review Committee
This report presents the findings of the Pandemic Influenza Mortality and Morbidity Review Group in relation to the 49 deaths following pandemic influenza A(H1N1) 2009.
1 Apr 2010, Family Violence Death Review Committee
This report provides the first complete picture of homicide within families in New Zealand.
1 Apr 2010, Medication Safety
Purpose: To highlight the risk of errors caused by the confusion that can occur during the prescribing, dispensing and administration of certain insulin products.