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Fifth report of the Perioperative Mortality Review CommitteeIn this fifth report, the Perioperative Mortality Review Committee has examined perioperative mortality in New Zealand during 2009–2013 for two new clinical areas of interest.
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ABI and Active+ case study: Improving access to community rehabilitation after traumatic brain injuryA case study from ABI and Active+ about improving access to community rehabilitation after traumatic brain injury.
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Annual Report 2014/15 | Pūrongo ā-tau 2014/15The Commission's annual report for the period 1 July 2014 to 30 June 2015 is available to download below.
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Instructions for reviewing and correcting Surgical Site Infection Improvement Programme (SSIIP) data in National MonitorThis document has been developed as a guide for SSIIP champions to review and correct SSIIP data in National Monitor (the data entry platform for the Health Quality & Safety Commission’s surveillance).
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Embedding te Tiriti in capability programme design and deliveryCommission staff members Jane Cullen and Dr Te Raina Gunn presented at GP22 on embedding te Tiriti in capability design and delivery. See the slides from their presentation here.
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Risk factors differ for Gram-negative surgical site infection following hip and knee arthroplasty: an observational study from a national surveillance systemThis article describes describe risk factors for surgical site infection (SSI) caused by aerobic Gram-negative organisms after hip and knee arthroplasty in Aotearoa New Zealand.
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A guide to implementing light surveillance for the orthopaedic SSIIPThis document outlines the process for undertaking ‘light surveillance’ for the orthopaedic SSIIP. It supplements the Orthopaedic surgery implementation manual.
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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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Improving health outcomes: Pacific consumer group’s talanoa on Bula SautuThis document is a thematic analysis of feedback on the Health Quality & Safety Commission’s report, Bula Sautu – A window on quality 2021: Pacific health in the year of COVID-19.
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Winning posters from the 2018 antibiotic awareness poster competitionCopies of the winning entries from the 2018 antibiotic awareness poster competition.