January 2011 issue of WHO Patient Safety Newsletter
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.
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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, 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.
1 Apr 2010, Family Violence Death Review Committee
This report provides the first complete picture of homicide within families in New Zealand.
21 Mar 2010, Advance Care Planning
A template to help you talk about your advance care planning preferences.
15 Mar 2010, Infection Prevention & Control
This document presents recommendations to the Ministry of Health for the development of a consistent, evidence-based approach to surveillance of surgical and procedural site infections.
1 Mar 2010, Family Violence Death Review Committee
FVDRC's first annual report to the Minister of Health
1 Mar 2010, Advance Care Planning
Old version of the Advance Care Planning Guide 2010, for reference only.
1 Mar 2010, Advance Care Planning
A template to help you think about the issues you may have about advance care planning.
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
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, Medication Safety
Newsletters from the SMM programme for the year 2009
1 Dec 2009, Infection Prevention & Control
The guidance material provides an explanation, evidence base and information on implementation of care bundles.