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Learning from harm programme restorative responses workbookThis workbook is an introduction to restorative responses in the context of adverse events. A restorative response is a relational approach that is guided by a need to address harm, meet needs, restore trust, prevent repetition and promote repair.
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Target CLAB Zero final reportThis is the final report on the collaborative to prevent central line associated bacteraemia (CLAB).
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Evaluation report: Major trauma rehabilitation collaborative | He pūrongo arotake: Whakaoranga tahi i te pāmamae nuiThis evaluation of the trauma rehabilitation collaborative, run from March 2021 to June 2022, is to determine how the collaborative has met the project aims and its performance in meeting the Te Tāhū Hauora strategic priorities.
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SSIIP skin antisepsis guideThis document has been produced to encourage health care professionals to use skin antisepsis preparation more effectively to improve the safety and quality of care that patients receive.
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He maungarongo ki ngā iwi: Envisioning a restorative health system in Aotearoa New ZealandThis framework supports the health and disability sector to mitigate and respond to health care harm in Aotearoa New Zealand.
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Quality improvement: no quality without equity?Over the past 30 years, the health quality movement has striven to reduce unwarranted variation. In this paper we examine the New Zealand context.
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Adverse events exception reporting 2020/21: Thematic analysis involving always report and review eventsThis thematic analysis reviewed all wrong consumer and wrong site always review and report events, reported to Te Tāhū Hauora Health Quality & Safety Commission by district health boards between 1 July 2017 and 30 June 2021.
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Adverse events exception reporting 2020/21: Thematic analysis involving Māori and Pacific peoplesThis paper presents a thematic analysis of severity assessment code (SAC)-1 and 2 adverse events involving Māori and Pacific peoples reported to Te Tāhū Hauora Health Quality & Safety Commission from 1 July 2017 to 30 June 2021.