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Displaying 1 - 10 of 55 results
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Representing the consumer voice in an adverse event review
Sheila 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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Thematic analysis of maternity adverse events reported 1 July 2018–30 June 2023
This report is an analysis of maternity-specific data from a 5-year period (1 July 2018–30 June 2023).
- Systems Engineering Initiative for Patient Safety Human Factors tool
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Adverse events exception reporting
These documents summarise adverse event exception reporting for the 2020/21 and 2021/22 financial years.
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Adverse events exception reporting 2020/21: Thematic analysis involving Māori and Pacific peoples
This paper presents a thematic analysis of severity assessment code (SAC)-1 and 2 adverse events involving Māori and Pacific peoples reported to Te Tāhū Hauora Health Quality & Safety Commission from 1 July 2017 to 30 June 2021.
- Learning review template
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Principles for engaging consumers and whānau in mental health and addiction adverse event reviews
This information is provided for mental health and addiction (MHA) services. It is intended to guide adverse event review facilitators on the principles of engaging with consumers and their whānau affected by an adverse event and to complement...
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Learning from adverse events report 2017–18
This is the annual learning from adverse events report for 2017–18, 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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Presentations from learning session one of the 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
Presentations from learning session one of the 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 held on 12–13 February 2020.
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National adverse events policy 2023 feedback summary
A summary of the feedback and responses from public consultation on the revised Healing, learning and improving from harm: national adverse events policy 2023 is now available.