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31 Dec 2009, Adverse Events
In this year three in 10,000 admissions to DHBs involved a potentially preventable serious or sentinel event. Of these 39 percent were a result of a clinical mismanagement problem
31 Dec 2009, Medication Safety
Newsletters from SQM Group for the year 2009
1 Dec 2009, Medication Safety
Newsletters from the SMM programme for the year 2009
1 Dec 2009, Medication Safety
Purpose: To highlight a number of strategies that should be implemented to minimise the clinical risk associated with the preparation and administration on intravenous (IV) medicines.
1 Dec 2009, Infection Prevention & Control
The guidance material provides an explanation, evidence base and information on implementation of care bundles.
1 Nov 2009, 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 Nov 2009, Medication Safety
DHB NZ Safe & Quality Use of Medicines Group position statement on intravenous infusion practices
27 Oct 2009, Adverse Events
Serious and Sentinel Events in New Zealand Hospitals 2007–2008.
1 Jun 2009, Medication Safety
Purpose: To highlight the dangers associated with using colchicine in the treatment of acute gout and to change prescribing to a lower dose.
1 Mar 2009, 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 Feb 2009, Perinatal & Maternal Mortality Review Committee
Presentations from the one-day workshop 'Keeping Mothers Healthy: Improving maternal mental healthcare in New Zealand.
3 Jan 2009, Perinatal & Maternal Mortality Review Committee
A pamphlet about AMOSS. AMOSS is a national surveillance system that describes a variety of rare or serious conditions of pregnancy and the postnatal period in Australia and New Zealand.
1 Jan 2009, Medication Safety
Newsletter from the SMM programme for the year 2008
31 Dec 2008, Medication Safety
Newsletters from the SQM Group for the year 2007
31 Dec 2008, Medication Safety
Newsletters from SQM Group for the year 2008
7 Oct 2008, Medication Safety
Purpose: To highlight risks for patients on morphine and to suggest improvements in practice in both primary and secondary care environments.
1 Sep 2008, Child & Youth Mortality Review Committee
This report concerns the deaths of children and youth from January 2002 to December 2005.
1 Jul 2008, Medication Safety
Purpose: To highlight and reduce the risk of accidental overdose of intravenous potassium resulting from the use of concentrated potassium chloride injections.
21 Feb 2008, Adverse Events
Commentary on serious and sentinel events reported by District Health Boards in 2006–2007.
1 Feb 2008, Medication Safety
A poster illustrating some common INNs and BANs that may cause confusion