Resource library Whare rauemi

Brochure for patients to explain the various elements of the surgical safety checklist.

Report from Litmus on attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres.

Pou hihiri, Pou o te aroha | Healing and learning from harm was developed by the Diana Unwin Chair in Restorative Justice and Stella Maris productions in consultation with several health sector and Māori partners, and funded by the Commission.

This is a video recording of a presentation by Professor Paul Bowie about human factors and maternity systems.

A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.

A report based on the information gathered during a research project of whānau Māori experiences of in-hospital adverse events.

Helen McKernan talks about her mother’s death, following a hospital medication error. Helen's mother was given the wrong medication for four days because of a chart mix up and inadequate checking.

Sheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.

This report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.

This presentation given by global trigger tool clinical lead, Gillian Robb, provides an update on the use of trigger tools in New Zealand.