Displaying 481 - 490 of 604 results
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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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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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National Adverse Events policy 2017National Adverse Events policy 2017
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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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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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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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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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Attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatresReport from Litmus on attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres.