Te whakamahere tiaki i mua i te wā taumaha

Advance care planning

Advance care planning is the process of thinking about, talking about and planning for future health care and end of life care. This page provides information about advance care planning for consumers and clinicians.
Te āhua o te kaitātaki me ngā mahi ka taea

Leadership and capability

Our quality improvement science education and training courses provide skills to address local improvement challenges, as well as building ability to draw on what is available nationally.
Te whakaratonga pai ake

Improved service delivery

Te Tāhū Hauora engages with the sector to improve the delivery of health care services though specific quality improvement programmes.
Te rōpū tohutohu rautaki ārai mate

Infection prevention and control

The Te Tāhū Hauora national infection prevention and control (IPC) programme aims to improve patient outcomes by reducing the incidence and impact of healthcare associated infections (HAIs) within the New Zealand health and disability sector.
Whakapai i ngā mahi hauora hinengaro waranga hoki

Mental health and addiction quality improvement

The mental health and addiction quality improvement programme is a national initiative working with the DHBs to ensure that people who experience mental health and addiction issues, and their whānau, receive high quality care.
Komiti arotake matenga

Mortality Review Committees

Mortality review committees are statutory committees that review particular deaths, or the deaths of particular people, in order to learn how to best prevent these deaths.
Arotakenga Mātai Whēkau ā-Motu

National Bowel Screening Programme Review

In February 2018 Health Minister Hon. Dr David Clark initiated an independent review of the National Bowel Screening Programme.
Te Hononga Whētuki ā-Motu

National Trauma Network

Te Tāhū Hauora is contracted by the Accident Compensation Corporation (ACC) to provide support to the Te Hononga Whētuki ā-Motu | National Trauma Network.
He hoa tiaki

Partners in Care

Our programme’s aim is to ensure consumer and whānau engagement in the planning, delivery, and monitoring of health services and therefore a higher quality and safer health system.
Punaha ahuru

System safety

The way we think about safety in the health sector has changed over recent years. We are increasingly recognising the health care system is a complex system that constantly adapts to change.

Mōhiohio kounga e pā ana ki te hauora

Health Quality Intelligence

This programme establishes baseline measures and indicators which can be used to assess the quality of the health and disability system.
Mapi Hauora Kē

Atlas of Healthcare Variation

The Atlas of Healthcare Variation displays easy-to-use maps, graphs, tables and commentaries that highlight variations by geographic area in the provision and use of specific health services and health outcomes.
Tono raraunga

Data submission

This page is for submitting data around quality & safety markers and adverse events.
Ngā Tohu Hauora, Kounga me te Haumaru

Health Quality & Safety Indicators

Measuring the quality of health care and communicating the results in a variety of ways and settings is a powerful way to stimulate improvement.
He Kete Rauemi

Measures Library

Health sectors rely on data to improve quality. Our Measures Library provides technical documents and summaries, management and case documents, plus links to other resources like the Atlas of Healthcare Variation.
Open4Results

Open4Results highlights harm prevented and money saved through the improvements made by health services in areas where Te Tāhū Hauora has a focus.
He ara aupiki, he ara auheke

Patient experience

Patient experience is a vital but complex area. Te Tāhū Hauora conducts three national surveys to enable the collection, measurement and use of patient experience information on a regular basis.
Ngā taupānga

Subscribed apps

A list of subscribed apps to view data published by the health quality intelligence programme.
Ngā tohu kounga, tohu haumaru

Quality & Safety Markers

The quality and safety markers help us evaluate the success of our programmes and determine whether the desired changes in practice and reductions in harm and cost have occurred.
Papatohu kounga

Quality Dashboards

The dashboard brings together everything Te Tāhū Hauora knows about local health systems in one place.
Kōrero kounga

Quality Accounts

Quality accounts require health care providers to give an account for the quality of their services in a similar way to financial accounts showing how an organisation used its money.
Te kounga o te tauwhiro hauora

Window on the quality of health care

Every year Te Tāhū Hauora publishes a document we call A window on the quality of Aotearoa New Zealand’s health care. The Window provides a snapshot of the quality of health care in the country.

Whare rauemi

Resource library
Te Pū rauemi KOWHEORI-19

COVID-19 resource hub

Support for people working in health during the COVID-19 pandemic. Find information about how you can support yourselves and others, including consumers, teams and colleagues which complements and aligns with Ministry of Health resources.
Kia āta kōwhiri

Choosing Wisely

The Choosing Wisely campaign seeks to reduce harm from unnecessary and low-value tests and treatment.

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Systems Analysis of Clinical Incidents: The London Protocol

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Systems Analysis of Clinical Incidents: The London Protocol

16th November, 2021

Adverse events

The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.

Please note, registration is required to download this document from the IHI website.

Attachments

Systems Analysis of Clinical Incidents: The London Protocol
LINK

Relevant pages

Adverse Events

Last updated: 16th November, 2021

Our work

Advance care planning

Leadership and capability

Improved service delivery

Infection prevention and control

Mental health and addiction quality improvement

Mortality Review Committees

National Bowel Screening Programme Review

National Trauma Network

Partners in Care

System safety

Our data

Health Quality Intelligence

Atlas of Healthcare Variation

Data submission

Health Quality & Safety Indicators

Measures Library

Open4Results

Patient experience

Subscribed apps

Quality & Safety Markers

Quality Dashboards

Quality Accounts

Window on the quality of health care

Resources

Resource library

COVID-19 resource hub

Choosing Wisely

Systems Analysis of Clinical Incidents: The London Protocol

Attachments

Relevant pages

Adverse Events