Resource library

This 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.

A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.

This report alerts providers to key findings and actions following review of preventable events relating to interventional procedures. The aim is to learn from the events to prevent future similar events.

This report alerts providers to adverse event cases reported to the Commission’s Adverse Events Learning Programme.

This 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.

Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.

Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.

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...

Presentations from learning session one of the 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 held on 12–13 February 2020.

Commentary on serious and sentinel events reported by District Health Boards in 2006–2007.