Displaying 31 - 40 of 55 results
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Presentations and videos from the co-design workshop on learning from adverse eventsPresentations from the first co-design workshop for Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project.
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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.
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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.
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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.
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National adverse events reporting policy 2017This is the annual adverse events report 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.
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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.
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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.
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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.
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Open4Results – December 2018Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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Open4Results – June 2019Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.