As stated in the revised National adverse events policy 2023 | Te whakaora, te ako me te
whakapai ake i te kino: Te kaupapa here ā-motu mō ngā mahi tūkino 2023, reporting must be accompanied by meaningful analysis that leads to system improvement.
This guide aims to enable health providers to review harm by applying the learning review method. Te Tāhū Hauora Health Quality & Safety Commission prefers this method because it better reflects the complex sociotechnical system that is health care.
