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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.
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Serious and Sentinel Events in New Zealand Hospitals 2007–2008
Serious and Sentinel Events in New Zealand Hospitals 2007–2008.
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Learning from adverse events annual reports
Annual national summaries of adverse events reported to Te Tāhū Hauora Health Quality & Safety Commission.
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Pono consumer story: Anne-Marie Douglas
Anne-Marie Douglas shares her experience of mental health challenges that led to a review process.
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Mental health and addiction severity assessment code (SAC) examples 2024
Mental health and addiction Severity Assessment Code (SAC) examples for adverse event reporting.
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Always Report and Review list 2021–22
The 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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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).
- Healing, learning and improving from harm: National adverse events policy 2023 | Te whakaora, te ako me te whakapai ake i te kino: Te kaupapa here ā-motu mō ngā mahi tūkino 2023
- Systems Engineering Initiative for Patient Safety Human Factors tool
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Severity Assessment Criteria tables
The likelihood and consequences tables are used by district health boards (DHBs) to assist with the classification of incidents by DHB quality and risk managers.