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Thematic analysis of maternity adverse events reported 1 July 2018–30 June 2023

3 Jul 2024

Te Tāhū Hauora Health Quality & Safety Commission (Te Tāhū Hauora) collects, analyses and reports on events of harm that meet criteria based on Severity Assessment Code (SAC) 1 and 2 events and those on the Always Report and Review list.

This report is an analysis of maternity-specific data from a 5-year period (1 July 2018–30 June 2023). Events in this timeframe were managed and reviewed by health care providers using the National Adverse Events Policy 2017 (the 2017 policy), which came into effect on 1 July 2017 and was replaced on 1 July 2023 by the Healing, learning and reporting from harm national adverse events policy 2023 (the 2023 policy).