Displaying 39 - 48 of 49 results
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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.
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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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Learning from adverse events report 2017–18This is the annual learning from adverse events report for 2017–18, 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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Systems Analysis of Clinical Incidents: The London ProtocolThe purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
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National Adverse Events policy 2017National Adverse Events policy 2017
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Global trigger tool: Using data for improvementThis presentation given by global trigger tool clinical lead, Gillian Robb, provides an update on the use of trigger tools in New Zealand.
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Gillian Robb talks about the IHI Global Trigger ToolThe Global Trigger Tool (GTT) is a methodology developed by the Institute for Healthcare Improvement to identify patient harm that occurs in health care organisations.
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Serious and Sentinel Events in New Zealand Hospitals 2008–2009In 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
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Serious and Sentinel Events in New Zealand Hospitals 2007–2008Serious and Sentinel Events in New Zealand Hospitals 2007–2008.