Displaying 451 - 460 of 569 results
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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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Always report and review list 2018–19The always report and review list is a subset of adverse events that should be reported and reviewed in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer/patient.
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Severity Assessment Criteria tablesThe likelihood and consequences tables are used by district health boards (DHBs) to assist with the classification of incidents by DHB quality and risk managers.
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Adverse events shared learning toolThis tool is for sharing learning from events that are not otherwise reported to the Health Quality & Safety Commission under the National Adverse Events Reporting Policy.
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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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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.