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Resource library
Governing for quality: A quality and safety guide for district health boards
Peripheral intravenous catheter infographics
ALERT 10: Humalog insulin
Summary: Bula Sautu – A window on quality 2021: Pacific health in the year of COVID-19 | Whakarāpopotanga: Bula Sautu – He mata kounga 2021: Hauora Pasifika i te tau COVID-19
Checklists, briefings and debriefings: an evidence summary
The case for investment in: A quality improvement programme to reduce pressure injuries in New Zealand
Improving surgical teamwork and communication: A guide to preparing and implementing
Child and Youth Mortality Review Committee: 15th data report: 2015–19 | Te Rōpū Arotake Auau Mate o te Hunga Tamariki, Taiohi: Te pūrongo raraunga 15: 2015–19
Who's in the room? session 4
Who's in the room? session 1
Who's in the room? session 3
Who's in the room? session 2
Virtual sessions from the February 2021 Quality improvement scientific symposium
Safe surgery programme
Presentations from the 2018 Quality Improvement Scientific Symposium
Improving trauma care for critically bleeding patients: A history, evidence summary and proposed quality improvement approach
Presentations from the 2019 Quality Improvement Scientific Symposium
Major trauma rehabilitation quality improvement programme: National collaborative 2021 guidelines and application form
Trauma programme project plan: Major trauma rehabilitation
Improving trauma care for critically bleeding patients: A national best-practice critical bleeding bundle of care with associated guidance and massive transfusion protocol
Brochure: Guide for trauma patients and whānau
Trauma programme project plan: Critical haemorrhage
Infographic: Improving trauma care for critically bleeding patients
New Zealand Major Trauma Registry & National Clinical Network annual report 2018/19
Pressure injuries: Rangi's story
Webinar recording: Let's discuss pressure injuries
Presentations from the 2017 Quality Improvement Scientific Symposium
Pressure injury prevention education videos
Pressure injury measurement frequently asked questions
Evaluation of Te Rā Haumaru Tūroro o Aotearoa | Aotearoa Patient Safety Day 2020
Resources for Te Rā Haumaru Tūroro o Aotearoa | Aotearoa Patient Safety Day 2021
Mental health and wellbeing webinar recording | Te Rā Haumaru Tūroro o Aotearoa 2020
Getting through together: Consumer perspectives
Getting through together: Health and disability worker perspectives
Mental health and wellbeing resources for Aotearoa Patient Safety Day 2020
Patient Safety Week 2019 evaluation
Learning and education modules on understanding bias in health care
Presentations from the 2016 Quality Improvement Scientific Symposium
Trailer: Who me – biased? He ngākau haukume tōku?
Patient Safety Week 2019 poster: Who me – biased? | He ngākau haukume tōku?
Patient Safety Week 2018 evaluation
From knowledge to action: A framework for building quality and safety capability in the New Zealand health system
Winning posters from the 2018 antibiotic awareness poster competition
Patient Safety Week 2018 poster: Are you giving germs a hand?
Patient Safety Week 2018 poster: Wash your hands
Patient Safety Week 2018 poster: Germ hotspots
Metoprolol oral administration - draft alert
Patient Safety Week 2018 screensavers
Patient Safety Week 2018 animated germs
Face masks, vision, and risk of falls
Reducing harm from falls: Recent literature of interest (February 2019–2020)
Reducing harm from falls: Recommended evidence-based resources 2020
Reducing harm from falls: Webinar introducing the 2020 falls evidence base
Australian and New Zealand Hip Fracture Registry 2019 Annual Report
Reducing harm from falls: Webinar introducing the 2019 falls evidence base
Reducing harm from falls: Recommended evidence-based resources 2019
Interventions for reducing falls and harm from falls in older people with cognitive impairment
Care Companion Programme workbook (Bay of Plenty DHB)
Australian and New Zealand Hip Fracture Registry 2018 Annual Report and Supplementary Report
Australian and New Zealand Hip Fracture Registry 2020 Annual Report
Recovering from a hip fracture | Pikinga ora i tētahi whainga hope (booklet)
National medication chart toolkit, user guide and medication charting standard (updated February 2021)
Baclofen oral liquid medication alert
Some medicines for epilepsy, mental health, and pain can harm your unborn baby
Aotearoa New Zealand Tall Man lettering list (April 2020)
Pain-relieving medicines for acute pain – information for patients
Medication alert 18: Thrombolysis for acute ischaemic stroke
ALERT: Transdermal patches
Safe use of opioids data collection and reporting workbook (manual data capture)
Display of combination product medicines in electronic systems
Quality improvement toolkit
#O2TheFix toolkit
Just and fair culture
Safety Signal: Changes to the labelling of Bicillin LA®
Acetylcysteine for the treatment of paracetamol overdose and toxicity – 2-bag dosing guidance
5 questions to ask about your medications – consumer safety poster
Opioid implementation package
Safe use of opioids measurement: frequently asked questions
Safe use of opioids collaborative information for DHB hospitals
ALERT: Metoprolol
Safety Signal: Oral Metoprolol administration
ALERT 4: Error-prone abbreviations, symbols and dose designations NOT TO USE
Poll shows link between abbreviations and medication errors
Error-prone abbreviations, symbols and dose designations not to use
Jessica Nand and Dr Mark Beale talk about medicine reconciliation in NZ
Taking Your Medicine Safely pamphlet
Safe Medication Management newsletters - 2010
Recommended International Non-proprietary Names (rINNs)
Medicine reconciliation guidance tools and training materials
Specify brand advice guidance – updated May 2019
Applying for specify brand advice status
ALERT 17: Alteplase or tenecteplase?
Evaluation of the safe use of opioids national collaborative
Reducing opioid-related harm and building quality improvement capability in New Zealand: a national formative collaborative
Margaret's story: Understanding the side effects of medicines
Gary's story: a consumer perspective on taking warfarin
Consumer flyer: Ask your pharmacist for advice about your medicines
ARRC mini-collaborative evaluation report and case studies
John's story: Managing warfarin safely
Quality improvement toolkit for use in age related residential care
Oxycodone: How did we get here and how do we fix it
Video: Introducing the safe use of opioids collaborative
Pharmac leaflet on practical tips for giving medicine to kids
Pharmac leaflet explaining medicine brand changes
Medication Safety Watch - Issue 2, May 2012
Medication Reconciliation in the Hospital: What, Why, Where, When, Who and How?
Medication Safety Factsheet
ALERT 14: Oral Methotrexate - once weekly dosing
ALERT: Prescribing by weight in children
Patient information - Help us to help you
Parent information - Help us to help your child
ALERT 13: Caffeine citrate oral solution
ALERT 12: Heparin
ALERT 11: Dabigatran
Advance care planning training manual (June 2021)
Guidelines for working with Asian patients and their families
Advance care planning communication skills manual
The national patient deterioration programme and shared goals of care
Leaning in to lessen fear
Māori lives matter
Advance care planning conversation starters
An overview of advance care planning in Aotearoa New Zealand
Primary care improvement case study: Improving eczema management and care at Hauora Heretaunga
Primary care improvement case study: Turanga Health: Tu Mahi project
Copenhagen 2020 presentation: Whakakotahi – where the quality improvement drives equity, consumer engagement and integration
Primary care improvement case study: Taumarunui Community Kokiri Trust: He Mate Huka Oranga – a project to keep well with diabetes
Primary care improvement case study: Tongan Health Society: Improving medicine access in primary care for Pacific peoples
Te Kete Hauora patient advisory group workbook
Primary care improvement case study: Gonville Health: Improving the patient enrolment process
Primary care improvement case study: South City Health: Managing child eczema
Primary care improvement case study: Victory Square Pharmacy: Improving access to health care among opioid substitution treatment clients
The importance of consumers in Whakakotahi: primary care quality improvement
Primary care improvement case study: The Hutt Union and Community Health Service diabetes improvement project
Whakakotahi evaluation reports
Primary care improvement case study: The Fono ‘Happy Skin’ project: Skin and soft tissue infections in the Tuvaluan community
Primary care improvement case study: West Coast Primary Health Organisation: Improving access to care and the journey for Māori and whānau with diabetes
Exploring how the way we work impacts the consumer experience
Primary care improvement case study: Nelson Marlborough Health: Improving medication adherence post cardiac stent
Ethical challenges in advance care planning
Primary care improvement case study: Childhood respiratory warrant of fitness: Unichem Russell Street, Hastings
Presentation: Co-creating quality improvement in primary care
Presentations from the 2019 Royal New Zealand College of General Practitioners conference
Advance care planning DHB L1A training administration guide
Serious Illness Conversation Guide DHB training administration manual
Towards quality improvement at scale in the New Zealand primary care setting: Findings from consumer and health service engagement
Serious illness conversation patient letter example
The hui process: A framework to enhance the doctor-patient relationship with Māori
Safer surgery journal articles (long and short versions, updated August 2021)
Information about the Safe Surgery NZ programme quality and safety marker
Speaking up for patient safety
Actively listening for patient safety
Health Quality & Safety Commission | Surgical safety culture survey report 2019
Counties Manukau Health safe surgery posters
How surgical briefings are held at Counties Manukau Health
Factsheet for residents in aged residential care when having a shared goals of care discussion
What are the benefits of surgical briefings?
Surgical briefings support practical decision making
Surgical briefings are an efficient way to start the day
Surgical briefing poster
Surgical briefing brochure
Surgical briefing case studies
Surgical safety checklist posters
Reducing perioperative harm proof of concept project: final report
Video: Surgical safety checklist (full length, 10min 58sec)
Surgical Safety Checklist (Australia & New Zealand)
Factsheet for patients and whānau when having a shared goals of care discussion
Advance care planning 101 presentation and guidelines for use
Shared goals of care form for aged residential care
Factsheet for nurses and allied health workers supporting shared goals of care in aged residential care
Factsheet for clinicians responsible for shared goals of care decisions in aged residential care
Shared goals of care: overview presentation
Infographics: Talking to adult patients with a serious illness and at risk of deterioration
Serious illness conversations: Reference guide for health care professionals | He kōrerorero mō ngā tino mate: He aratohu mā ngā mātanga tauwhiro hauora
Safe Surgery NZ programme evaluation – final report
Surgical Safety Culture Survey Research Report 2017
Using the Serious Illness Conversation Guide
Safe Surgery NZ teamwork & communication video 1: Sign in
Serious Illness Conversation Guide implementation guide
Safe Surgery NZ teamwork & communication video 2: Time out
Safe Surgery NZ teamwork & communication video 4: Briefing
Safe Surgery NZ teamwork & communication video 3: Sign out
Safe Surgery NZ teamwork & communication video 5: Debriefing
Safe Surgery NZ teamwork & communication video 6: Interview 1
Safe Surgery NZ teamwork & communication video 7: Interview 2
Drill sheet to support serious illness conversations
Safe Surgery NZ teamwork & communication video 8: Interview 3
Southern Cross Hospitals surgical safety checklist posters
Customising the Serious Illness Conversation Guide for Aotearoa New Zealand
Factsheet for nurses and allied health workers supporting shared goals of care decisions
Factsheet for senior clinicians responsible for shared goals of care decisions
Factsheet for response teams supporting shared goals of care decisions
Shared goals of care forms for use in hospital
Surgical safety interventions a success for Northland
Frequently asked questions about the Safe Surgery NZ programme
Video: Surgical briefing and debriefings
Video: Implementing briefing and debriefing sessions at Hutt Valley DHB
Webinar recording 'Beyond the tickbox' with Dr William Berry
Surgical checklist video
Surgical checklist video: sign in
Surgical checklist video: time out
What is perioperative harm and how can we reduce it?
Surgical checklist video: sign out
Video: Surgical safety checklist (summary version, 4min 03sec)
Keeping you safe during surgery – surgical safety brochure for patients
Attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres
Responses to themed questions raised during 14 September 2021 webinar to launch ‘Pou hirihiri, Pou o te aroha | Healing and learning from harm’ video
Pou hihiri, Pou o te aroha | Healing and learning from harm
Patient COVID-19 Serious Illness Conversation Guide – guide to support conversations with patients
Open Book: Extravasation injury during surgery
Whānau COVID-19 Serious Illness Conversation Guide – guide to support conversations with whānau
Open Book: Hypoxic cardiac arrest during attempted percutaneous tracheostomy
Aotearoa serious illness conversation guide
Open Book: Learning Review (March 2021)
Introduction to human factors and maternity systems presentation
Brochure and videos: Making an advance care plan – information for you and your family
National summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020
Advance care planning – issues for lawyers
Ngā Taero a Kupe: Whānau Māori experiences of in-hospital adverse events
Adverse event brief: Part A
Kia kōrero, Let’s talk advance care planning campaign evaluation | Kia kōrero, he arotake i te kaupapa whakatairanga i ngā whakamāherehere manaakitanga tōmua
Learning from adverse events report 2018/19
Open Book: Dispensing errors: Learning from the national primary care patient experience survey (Jan 2019)
Presentations from Delivering resilient health care: A workshop with Professor Erik Hollnagel
Keri Kaa's story
Learning from adverse events report 2017–18
Always report and review list 2018–19
National adverse events reporting policy 2017
Arthur Te Anini's story
Severity Assessment Code (SAC) rating and triage tool for adverse event reporting
Severity Assessment Code (SAC) examples
A guide to the national adverse events reporting policy 2017
Severity Assessment Criteria tables
Helen McKernan discusses mother's hospital treatment
Systems Analysis of Clinical Incidents: The London Protocol
Representing the consumer voice in an adverse event review
Template: Quality check for adverse event analysis (SAC 1 and 2)
Guide to partnering with whānau following an adverse event
Adverse events shared learning tool
Adverse event brief: Part B
Review of the national reportable events policy 2012: Summary of stakeholder feedback
National Adverse Events policy 2017
Open Book: Incorrect assembly of surgical equipment (June 2016)
Open Book: Red reflex assessment in newborns (June 2016)
Open Book: Bloodstream infection related to peripheral intravenous cannula (May 2016)
Open Book: Transmission of 'super-bug' in hospital (May 2016)
Open Book: Reviewing trigger tool notes to uncover harm (April 2016)
Open Book: Delay due to the use of an unfamiliar acronym (February 2016)
Open Book: Ensuring referrals happen (February 2016)
The Global Trigger Tool: A review of the evidence
Open Book: Retained vaginal swabs following childbirth (December 2015)
Open Book: Surgery abandoned due to unavailable instruments (December 2015)
Open Book: Epidural medicines through intravenous lines (September 2015)
Open Book: Safe discharge processes – norovirus (August 2015)
Open Book: CVC removal (July 2015)
Open Book: Acting on X-ray reports (June 2015)
Open Book: Safety in MRI scanner (May 2015)
Open Book: Lessons learnt from reviewing patient falls (April 2015)
Open Book: Triage of patient with post-procedure ophthalmic symptoms in the emergency department (April 2015)
Open Book: Preventing retained items – gynaecology surgery (March 2015)
