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Displaying 1 - 10 of 55 results
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Healthcare-associated infection Severity Assessment Code (SAC) examples 2024-25
This list is for guidance only. All events should be rated on actual outcome for the consumer.
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Open4Results – June 2019
Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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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.
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Patient story: Matthew Gunter
Matthew 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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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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Residential Disability Support Services Severity Assessment Code (SAC) examples 2025
This list is for guidance only. All events should be rated on actual outcome for the consumer.
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Gillian Robb talks about the IHI Global Trigger Tool
The Global Trigger Tool (GTT) is a methodology developed by the Institute for Healthcare Improvement to identify patient harm that occurs in health care organisations.
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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).
- Review of the national reportable events policy 2012: Summary of stakeholder feedback
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Serious and Sentinel Events in New Zealand Hospitals 2006–2007
Commentary on serious and sentinel events reported by District Health Boards in 2006–2007.