Displaying 111 - 120 of 126 results
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Open Book: Hypoxic cardiac arrest during attempted percutaneous tracheostomyThis report alerts providers of the risk of hypoxic cardiac arrest during percutaneous tracheostomy. The aim is to learn from the event and establish a standard operating procedure to prevent future similar events.
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Open Book: Extravasation injury during surgeryThis Open Book alerts providers to the key findings of a recent review of an incident where a patient suffered an extravasation injury that required skin grafts to repair.
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ALERT 12: HeparinPurpose: To highlight the risks for patients on heparin and to promote safer practice.
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ALERT 14: Oral Methotrexate - once weekly dosingThis alert highlights that patient harm and death have occurred when the weekly dosing schedule of methotrexate is inadvertently prescribed, dispensed or administered as an incorrect daily dose.
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Metoprolol oral administration - draft alertThe Medication Safety Expert Advisory Group is developing a full alert following release of a safety signal issued in October 2012 on oral metoprolol administration.
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Safe use of opioids data collection and reporting workbook (manual data capture)Spreadsheet template for manual data capture, for the safe use of opioids data collection and reporting.
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Aotearoa New Zealand Tall Man lettering list (April 2020)The Aotearoa New Zealand Tall Man lettering list (April 2020) includes look-alike, sound-alike medicine names that have been predicted to pose the greatest risk to patient safety.
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Presentations from the 2017 Quality Improvement Scientific SymposiumPresentations from the Health Quality & Safety Commission's 2017 Quality Improvement Scientific Symposium.
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Pressure injury measurement frequently asked questionsFrequently asked questions about the Commission's pressure injury measurement project.
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Trauma programme project plan: Critical haemorrhageThis project plan sets out the aim, rationale, objectives and approach for the critical haemorrhage project which seeks to reduce mortality and complications in critically haemorrhaging trauma patients.