Displaying 21 - 30 of 66 results
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Pono consumer story: Nicola PeeperkoornNicola Peeperkoorn explores her family’s experience of the mental health and addiction event review process.
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Reporting and reviewing adverse events involving consumers of mental health and addiction servicesThis purpose of this document is to provide guidance to the MHA sector and clarify its obligations under the national policy. Note: This is an interim document pending the update of the National Adverse Events Reporting Policy in 2022.
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Patient story: Matthew GunterMatthew was 16 years old when he developed appendicitis. His mum, Heather, took him to the local emergency department and he had surgery that night to remove his appendix.
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Presentations and videos from the co-design workshop on learning from adverse eventsPresentations from the first co-design workshop for Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project.
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Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gapThis paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
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Learning from adverse events report 2018/19This is the annual learning from adverse events report for 2018/19, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.
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Representing the consumer voice in an adverse event reviewSheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
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Always Report and Review list 2021–22The Always Report and Review list is a subset of adverse events that health providers should report and review in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer.
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Mental health and addiction Severity Assessment Code (SAC) examples 2021–22The examples included here are for guidance only; they are not intended to be prescriptive or exclude other events from review.
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National adverse events reporting policy 2017This is the annual adverse events report published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.