Displaying 29 - 38 of 49 results
-
Adverse events exception reporting 2020/21: Thematic analysis involving Māori and Pacific peoplesThis paper presents a thematic analysis of severity assessment code (SAC)-1 and 2 adverse events involving Māori and Pacific peoples reported to Te Tāhū Hauora Health Quality & Safety Commission from 1 July 2017 to 30 June 2021.
-
E-learning module: Human Factors | Ngā Āhua TangataThe e-learning module, Human Factors | Ngā Āhua Tangata in health care includes seven videos and is available free to all in health care professionals via the LearnOnline platform.
-
Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gapThis paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
-
Patient story: Matthew GunterMatthew was 16 years old when he developed appendicitis. His mum, Heather, took him to the local emergency department and he had surgery that night to remove his appendix.
-
Representing the consumer voice in an adverse event reviewSheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
-
Always Report and Review list 2021–22The Always Report and Review list is a subset of adverse events that health providers should report and review in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer.
-
National summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.
-
Learning from adverse events report 2018/19This is the annual learning from adverse events report for 2018/19, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.
-
The Global Trigger Tool: A review of the evidenceThis report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.
-
Maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC)The national maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC) supports the recognition of and response to deteriorating women in short-stay/assessment areas, such as women’s assessment units...